St. Mark the Evangelist Catholic Church

Plano, TX

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Baptism Certificate / Certificado de Bautismo

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  Last Name / Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  First Name / Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth / Fecha de Nacimeinto REQUIRED Please fill out this field. Please enter a date.
  
  Year of Baptism/ Año de Bautizo REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name / Nombre Paternal de Madre REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address / Correo Electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone number / número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Are you a current St. Mark member? / ¿Es usted un miembro actual de St. Mark?
  
  If not, please indicate the parish you are currently a registered member / Si no es así, indique la parroquia en la que actualmente es miembro registrado Please enter valid data.
  
  Where do you want the certificate to be mailed to? / ¿A dónde desea que se envíe el certificado por correo? REQUIRED Please fill out this field.
  
  Comments Please enter valid data.
  
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