Baptismal Application – St. George Armenian Church

Desired Date of Baptism

Date

Time

Name of Candidate for Baptism

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Place of Birth

City, State

Date of Birth

Phone

Email

Father's Name

First

Last

Father's Faith

Mother's Name

First

Last

Mother's Faith

Does the baptismal candidate have a godfather?

Email