Sacramental Information Form Saint Richard Catholic Church

This form will be used in planning our sacramental year. If you have any questions, please contact Susan O'Connor at dre@saintrichard.com or 601-366-2335
Child's Last Name *
Child's First Name *
Child's Middle Name *
Child's Birth Date *
MM
/
DD
/
YYYY
Father's Full Name *
Mother's Full MAIDEN Name *
Email *
Mailing Address *
Phone number (This will be used to communicate with you via FlockNotes *
Place of Baptism (Church, City, State) *If your child was not baptized at St. Richard, we need a copy of his/her Baptismal Certificate by October 4, 2021. *
Please add me to FlockNotes *
Please add any concerns or comments you may have here.
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