Baptism Registration Form
Please complete all fields. Please contact the Church Office at least one week before the scheduled baptism to confirm all requirements are prepared for.
Sign in to Google to save your progress. Learn more
Contact Name: Christina Liakos (Mama) *
Contact email: *
Sunday August 22, 2021 @1pm *
Baptisms held on Saturdays typically occur between 11am-1pm. Baptisms on Sundays occur at 12:30pm (after the conclusion of the Divine Liturgy). The office will confirm the availability of your date and time request.
Child's Legal Name *
Melia Anastasia Tsimoyianis
Female *
Father: Basil George Tsimoyianis *
Christina Liakos *
City & State of Birth: Poughkeepsie, NY *
Date of Birth: 11-17-20 *
Sponsor's Name: Constantina & Kiriakos Tzortzis *
Please note that sponsor(s) in Baptisms must be Orthodox Christians and must be in good canonical order with the church (if married, it must have been in the Orthodox Church). Any sponsor who is a member of another Orthodox Christian parish must provide a letter from the priest indicating the person is eligible to be a sponsor. Non-Orthodox Christians may assist, but will not be listed on the Baptismal Certificate.
Sponsor's Address : 27 Arrowhead Circle Rowley, MA *
Sponsor's Parish Membership (name of church): St. Vasilios Peabody, MA *
Sponsors are also required to have a letter from their local parish
Child's Baptismal Name: Anastasia *
This must be an Orthodox Christian Saint. Please indicate if you need help choosing a patron saint.
Father's place of birth (city, state, country): New York City, NY, USA *
Mother's Place of Birth (city, state, country): Nashua, NH, USA *
Family's Residence Address: 747 North Mountain Rd Gardiner, NY 12525 *
Home Phone: 845-645-9131 *
Mobile Phone: 603-930-2037 *
Parent's Wedding Date: TBA
Wedding Performed by: *
Place of Church Membership: TBD *
Father's Faith Tradition: Greek Orthodox *
Mother's Faith Tradition: Greek Orthodox *
Parent's Parish Membership (name of church): St. Philip is our family parish and where mother grew up. We recently had moved to NY when covid started so have been unable to attend but will be joining Kimisis Greek Orthodox Church in Poughkeepsie NY. *
Orthodox Christians from other parishes must have letters from their parishes indicating their good standing.
Notes / Questions / Additional Information
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy