Sacrament Registration Name of Child (required) Main phone number to leave a message (required) E-mail to leave messages (required) Cell Phone (mother) (father) Address Address City Zip Address Grade School Parents Father's Name Mother's Name Mother's Maiden Name Birth Date of State Baptism Date of Parish of Baptism State Address of Baptismal Parish if other than St. Bernard Parish (we send confirmation of this sacrament to the place of Baptism, where permanent records are kept) Street Address City Zip If you were NOT baptized at St. Bernard parish, you will need a copy of your child’s baptismal certificate. A copy can be obtained from the parish of baptism by calling and requesting a copy, which can be mailed directly to us at: 1617 W. Pine St. Appleton, WI 54914