St. Helen Catholic Church

Georgetown

Flocknote Phone YouTube Facebook

Permission to share Baptism Information

Permiso a compartir Informacion del Bautismo
The maximum number of form submissions has been reached. This form is currently not available.
- Contact Info - Contacto
  
  Name - Nombre Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Child Information - Informacion del Nino
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthday - Cumpleanos REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism - La Fecha del Baustismo
  MONTH/DATE/YEAR MES/FECHA/ANNO
  Please enter valid data.
  
  Father's Name - El nombre del Papa REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name (with Maiden) - El nombre de la Mama REQUIRED Please fill out this field. Please enter valid data.
- I understand that this request will be shared with the Faith Formation Office and I will not receive any notice that the information has been shared or a copy of the certificate.
- I Agree Please select this field.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.