Student Information Form
The information requested below is necessary to complete our records for your child to receive their sacraments this year. Please submit by January 15, 2021.
Father's First Name *
Father's Last Name *
Mother's First Name *
Mother's Last Name *
Email to use for communication *
We are parishioners of: *
Child's First Name *
Child's Middle Name *
Child's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
City / State of Birth *
Date of Baptism *
MM
/
DD
/
YYYY
Church of Baptism (If out of parish, a certificate must be submitted to our office no later than February 1, 2021.) *
City / State of Baptism *
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