Complete the form below to submit your request.
Specify the contact information of any priests that we can consult who are aware of your case. Please include at least one priest who knows both you and your spouse.
I, the undersigned, am over the age of eighteen, am competent to sign this document, and understand that I am signing an authorization, release, and waiver for the Clergical Council of the Coptic Orthodox Patriarchate - Diocese of the Southern United States, the “Council.” Further, I understand that the Council consists of three priests appointed by the Bishop of the Diocese and the Bishop is the head of the Council.
By signing this document, I consent, authorize and agree to the following: