Baptism Certificate شهادة معمودية
Fill this form after agreeing with the officiating priest.              املأ هذه الأستمارة بعد الإتفاق مع الكاهن المسؤل
If you have any questions feel free to contact forms@stshenoudajc.org  للإستعمال عن اي سؤال إتصل بـ
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Email *
Baptized's First Name  إسم المعمد في شهادة الميلاد *
Baptized's Last Name  إسم العيلة للمعمد *
Baptized's Baptism Name  الإسم بالمعمودية
Fill this out ONLY IF the Baptism name is different than the legal name.
Gender  الجنس *
Baptism Date  تاريخ المعمودية *
MM
/
DD
/
YYYY
Birth Date  تاريخ الميلاد *
MM
/
DD
/
YYYY
Father's Name  إسم الأب *
Mother's Name إسم الأم *
God Parent's Name  إسم الشبين *
Typically this is the mother of the child.
Confession Father of God Parent  أب إعتراف الإشبين *
Officiating Priest الكاهن الذى قام بالمعمودية *
Address  العنوان *
Number & Street, City, State, Zip
Phone Number  رقم التليفون *
You will be called within a month at this number to let you know when the baptism certificate has been printed.
A copy of your responses will be emailed to the address you provided.
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