Request a Baptismal Certificate – St. Benedict the Abbot

Request a Baptismal Certificate

Please fill out the information below. If you have any questions please contact the office.

Request a Baptismal Form

Name*
First Middle Last
Day Time Phone*
Date of Birth*
MM slash DD slash YYYY
Date of Baptism
MM slash DD slash YYYY
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Select Reason for Request*
- To Enroll in Religious Education
- To Receive a Sacrament
- For Marriage Prep
- Other