Record of Baptism with The Antiochian Orthodox Christian Archdiocese of North America
Sacrament Form
Email address *
Full Name of Baptized - If Applicable: indicate saint's name with "quotations" or (parentheses) *
Your answer
Month of Birth *
Day of Birth *
Year of Birth (i.e. 2018, 1976, etc.) *
Your answer
Place of Birth (Only City & State) *
Your answer
Father's Full Name
Your answer
Mother's Full Maiden Name
Your answer
Month of Baptism *
Day of Baptism *
Year of Baptism (i.e. 2018, 1976, etc.) *
Your answer
Name of Baptism Officiant(s) *
Your answer
Baptism Parish Name Only *
Your answer
Baptism Parish City & State *
Kindly spell out the State (i.e. Kansas, Quebec, New York)
Your answer
Baptism Officiant's Parish City & State (if different from above)
Kindly spell out the State (i.e. Kansas, Quebec, New York)
Your answer
Name of Required Orthodox Sponsor *
Your answer
Name of 2nd Sponsor
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