Baptismal certificate upload form

Baptismal certificate upload form for Confirmation
What is your child's full legal name that you want printed on their sacramental certificates?*

First NameMiddle NameLast Name
What is your child's date of birth?*

MonthDayYear
Date
Was your child baptized at St. Ann?*

YesNo
If your child was baptized at a church other than St. Ann, please enter the name of that church as well as the city and state in which it is located.

Church Name

Street Address Line 2

CityState

Zip Code
Was your child's First Communion at St. Ann?*

YesNo
If your child's First Communion at a church other than St. Ann, please enter the name of that church as well as the city and state in which it is located.

Church Name

Street Address Line 2

CityState

Zip Code
What is your street address?*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address (Parent/Guardian)
example@example.com
Parent/Guardian Name

First NameLast Name
What is the child's mother's maiden name?*
Is your family registered at The Catholic Church of St Ann?*

YesNo, Please send me more information about registration.No, We are registered at a different Archdiocese of Atlanta Parish
List Registered Parish:
Is your child listed as a family member on your registration?*

YesNo
Upload your child's baptismal certificate.*

Accepted file types: pdf, doc, docx, jpg, jpeg, png, gif
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Should be Empty:

Baptismal certificate upload form for Confirmation