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?
Is your child listed as a family member on your registration?
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.

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