Name: St. Agnes, Virgin and Martyr
Start: 2019-01-21T00:00:00-05:00
End: 2019-01-21T23:59:59-05:00
Location: Our Lady of Mt. Carmel

Name of Child
First Middle Last
Sex
Date of Birth
Place of Birth
City, State
Mother's Name*
First Last
Mother's Maiden Name
(if different)
Mother's Religion
Father's Name
First Last
Father's Religion
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Parish Envelope Number
If not a registered parishioner, please send a "Letter of Delegation" from the Pastor of Home Parish.
Church of Marriage
Include Name, City and State.
Was the Child Privately Baptized?
Was the Child Adopted?
Godparents
Godfather's Name
First Last
Religion
Godmother's Name
First Last
Religion

Our Lady of Mt Carmel

Enter to worship, leave to serve