( Complete and return this form to the church as soon as possible )
Date and Time confirmed for: ______________________________________________
Check One:
_________ Parents are members of St. George and have a stewardship card on file
_________ Parents are members of _________________________
Orthodox Church in (city/state) __________________________________________.
Parish Priest has been requested to send a confirmation letter.
Baptismal Certificate Information
Father’s Name: ______________________________ Faith of Father: __________________
Father’s Place of Birth: ________________________________________________________
Father’s Current Address: _____________________________________________________
Mother’s Maiden Name: ______________________ Faith of Mother: _________________
Mother’s Place of Birth: _______________________________________________________
Name of Godparent(s): ________________________________________________________
Child is: ______(male) _____(female)
Child’s Date and Place of Birth: ________________________________________________
Wedding Performed by: _____ Orthodox Priest ______ Minister ______
Civil Official Date and Place of Wedding: _______ _____________________________________________
