Secure Intake

Children’s sacramental preparation

Please complete this secure intake form and upload the required supporting documents.

Begin form

Secure parish form

Children’s sacramental preparation

Complete the form below. Church or school staff will review the information after submission.

Parent/guardian full name *

Parent email *

Parent phone *

Student full legal name *

Father's full legal name if listed

Mother's full legal name *

City/state of birth or city/country *

Birth date *

Upload Birth certificate upload

A clear photo or scan of this document is required.

Take a photo using your phone

Continue filling out this form on your computer. Use your phone only to take the document photo, and it will transfer securely back into this form automatically.

1Open your phone camera
2Scan this QR code
3Take a photo of birth certificate upload
4Return to this form

Your information is secure

Your document is encrypted in storage and accessible to authorized parish staff.

Already on your phone?

Upload status

Waiting for secure upload link.

After you upload from your phone, this status will update automatically.

Why use your phone?

Your phone camera usually takes clearer photos. You can still finish and submit this form on your computer.

Please upload a clear photo or scan of the full document.

Saint name if applicable

Sponsor full legal name(s)

Student age at time of sacrament *

Baptism date

Church of Baptism

Church city

Church state

Upload Baptismal certificate upload

This document is optional. Add it if it applies to you.