St. Mary Queen of Peace

Kingsford, MI

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Baptism

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- Certificate Collection REQUIRED Yes, I will come pick it up during business hours No, Please Mail it Please fill out this field.
- Name of Person Baptized REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Date of Baptism (Month & Year) REQUIRED Please fill out this field. Please enter a date.
- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Requested by:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
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