Baptismal Certificate information for Sacramental Year students

Baptismal Certificate information for Sacramental Year students
What is your child's full legal name? *

First NameMiddle NameLast Name
Please look at your child's Baptismal Certificate and write your child's name as it appears on her/his Baptismal Certificate:*

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

MonthDayYear
Date
City and state of child's birth:*
What is the child's father's full name?*
What is the child's mother's maiden full name?*
Please provide the details of the church where your child was baptized.*

Church Name

Street Address Line 2

CityState

Zip CodeCountry
Date of child's Baptism:*

MonthDayYear
Date
What is your street address?*

Street Address

Street Address Line 2

CityState

Zip Code
Is your family registered with St. Ann's parish?*

YesNo
Is your child listed as a family member on your registration?*

YesNo
Please provide the name and email of the parent or guardian submitting this information:*
Please upload your child's baptismal certificate, even if she/he was baptized at St. Ann.*

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