Sacramental Certificate Request Form

In order to protect the confidentiality of these records, Church of St. John the Baptist can only release sacramental certificates to the individual named on the certificate (or the next of kin if deceased), or to their parent or legal guardian if the named person is under the age of 18.

Full name of the person whose certificate is being requested (First, Middle, Last)

Date of Birth

Name of person requesting certificate:

Relationship:

Please select one option.

Self Parent/legal guardian of minor child

Requesting:

Please select one option.

Baptism certificate First Communion certificate Confirmation certificate Marriage certificate

Date Sacrament was conferred (or approximate date, if exact date is unknown)

Requestor's Email

This address will receive a confirmation email

Requestor's Phone

Requestor's Address

Choose one:

Please select one option.

I would like the certificate mailed to the above address I will pick up the certificate in the parish office. (Email me when it is ready.) Send certificate directly to the Church listed below.

Name of Church where Certificate will be mailed

Church Address

I certify that I have read the above information and that I am requesting my own certificate or that of my minor child.

Please select all that apply.

Agree Disagree

Sacramental Certificate Request Form

Description

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