Baptism Registration - Debre Haile Saint Rufael Ethiopian Orthodox Church

Debre Haile Saint Rufael · Tracy, California

Infant Baptism Registration
የሕፃናት ጥምቀት ምዝገባ ቅጽ

Complete the form below and the church office will contact you to confirm a date. If you have a question first, ask us.

Infant Baptism Registration

Infant Baptism Registration
የሕፃናት ጥምቀት ምዝገባ ቅጽ

Please complete this form and the church office will contact you to confirm a date.

የሕፃኑ/ኗ መረጃ

Child’s full legal name / የሕፃኑ/ኗ ሙሉ ስም

Date of birth / የትውልድ ቀን

Gender / ጾታ

Male / ወንድ

Female / ሴት

Requested baptismal name / የክርስቲያን ስም

Place of birth / የተወለዱበት ቦታ

የወላጆች መረጃ

Father’s full name / የአባት ሙሉ ስም

Father’s religion / የአባት ሃይማኖት

Mother’s full name, including maiden name / የእናት ሙሉ ስም

Mother’s religion / የእናት ሃይማኖት

Street address / የቤት አድራሻ

Phone number / ስልክ ቁጥር

Email address / ኢሜይል

Are you registered members of this parish? / የዚህ ቤተክርስቲያን አባል ነዎት?

Yes / አዎ

No / አይደለም

የክርስትና አባት/እናት መረጃ

Godparent’s full name / የክርስትና አባት/እናት ሙሉ ስም

Godparent’s Christian name / የክርስትና ስም

Godparent’s contact phone / የስልክ ቁጥር

Godparent’s home parish

ተጨማሪ መረጃ

Preferred date of baptism / የተመረጠ የጥምቀት ቀን

Additional notes or special requests / ተጨማሪ አስተያየት

What happens next: the church office will contact you to confirm the date.