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?
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?
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?
List Registered Parish:
Is your child listed as a family member on your registration?
Upload your child's baptismal certificate.

Accepted file types: pdf, doc, docx, jpg, jpeg, png, gif
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Baptismal certificate upload form for Confirmation