St. Tikhon's Monastery
Liturgy Commemoration Form for Living Orthodox Christians

1. Please provide first names only (no nicknames) (i.e. Alexander rather than Alex).
2. For Orthodox Christians please submit the person’s baptismal or ‘communion’ name if possible.
3. For Orthodox clergy and monastics please use titles (Priest, Deacon, Monk, instead of Father; Nun, instead of Mother, etc).

Your Email Address

Your Name and Address

Person(s) to be Prayed For
Please enter one name per line only (no multiple names with commas, please). No more than fifteen (15) names please.





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