St. Joseph’s Roman Catholic Church THIS IS TO CERTIFY THAT:

( ) Registered member(s) in good standing in St. Joseph Catholic Parish in Crescent City, California ( ) Non-registered member(s) of St. Joseph Parish In Crescent City, California Have taken the required preparation courses to baptize their child

The classes were taken on

Instructors Signature

Mothers Signature

Priest Signature

Fathers Signature 440 3rd Street Crescent City, Ca 95531 Phone: 707-465-1762 Fax: 707-465-1763 E-mail:[email protected]

St. Joseph’s Roman Catholic Church ESTO SERTIFICA QUE:

( ) Registrados como miembros en la Parroquia Católica St. Joseph en Crescent City, California

( ) No registrados como miembros de la Parroquia Católica St. Joseph en Crescent City, California Han Tomado las clases requeridas para bautizar a su niño/niña

Las clases fueron tomadas el día

Firma del instructor/a

Firma de la Mama

Firma del Sacerdote

Firma del Papa 440 3rd Street Crescent City, Ca 95531 Phone: 707-465-1762 Fax: 707-465-1763 E-mail:[email protected]