Required Items

Please mail, email, or fax the following items:

1. Child's birth certificate

2. Godparent's baptismal certificate or letter of proof. At least one Godparent must be an Orthodox Christian.

3. If the Godparent is not a Steward of The Church of The Assumption of Port Jefferson, please provide a, "Letter of Good Standing" for the Godparent.

Please mail the following required fees:

1. $400 Sacrament fee. Make check payable to Kimisis Port Jefferson (For non-stewards only - This is NOT Stewardship)

2. $125 Chanter fee. Please make check out to Thomas Wolf.

3. $100 Caretaker fee. Please make out check to George Konomos.

SELECT SACRAMENT DATE

PLEASE NOTE: WE WILL NOT HOLD THE DATE OF YOUR BAPTISM UNTIL ALL OF THE ABOVE ITEMS ARE RECEIVED.

Requested Date of Baptism? *

Click Here For Available Dates

Time Requested For Saturday Baptisms:

10am

12pm

2pm

4pm

Time Requested For Sunday Baptisms:

1pm

3pm

5pm

BAPTISM INFORMATIONAL FORM

Please upload the child's birth certificate.

Please upload the godparent's baptismal certificate.

Please upload godparent's Letter of Good Standing. You can obtain this letter from their home parish.

ALL SACRAMENTS ARE SCHEDULED EVERY 2 HOURS FROM 10AM - 4PM FRIDAYS AND SATURDAYS AND FROM 1PM - 5PM ON SUNDAYS.

Baby's name as it appears on the birth certificate: *

Baby's Full Baptismal Name: *

Baby's Birth Date: *

Baby's place of birth: *

Baby's Mother's First Name: *

Baby's Mother's Last Name: *

Baby's Mother's Maiden Name: *

Baby's Mother's Place of Birth *

Baby's Mother's Religion *

Baby's Father's First Name: *

Baby's Father's Last Name: *

Baby's Father's Place of Birth *

Baby's Father's Religion *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Godparent's First Name *

Godparent's Last Name *

2nd Godparent's First Name (If Applicable)

2nd Godparent's Last Name(If Applicable)

Godparent's Religion *

2nd Godparent's Religion(If Applicable)

Godparent's Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

WEDDING INFORMATION

What Church were the baby's parents married in. *

What city were the baby's parents married in. *

Church Address: *

Wedding Date: *

Priest's Name: *

Is the Godparent married? *

Yes

No

What church was the godparent married in?

What city was the godparent married in?

If the godparent is divorced, did they receive an ecclesiastical divorce? *

Yes

No

Required Items For Baptism

1. One (1) large white candle.
2. A bottle of olive oil
3.Baptismal Cross
4. A Onesie
5. One (1) large white towel
6. One (1) small white towel
7. One (1) bar of soap
8. Two (2) small white candles
9. Baptismal clothes for child
10. One (1) white sheet