Baptism Certificate Form Please note that all Baptismal certificates will note any other sacraments received as they are noted in our baptismal register. Name of Baptized * First Name Last Name Date of Birth * MM DD YYYY Year of Baptism (or profession of faith) * Mother's Maiden Name * Email * Phone Number * (if we need more information) (###) ### #### Are you a parishioner at St. Mary's? * Yes No If not, please indicate the parish where you are currently a member: When would you like the certificate delivered by? * MM DD YYYY Where would you like the certificate to be mailed? * Name of person requesting certificate * First Name Last Name Thank you! Your form has been submitted.
