Facebook Flocknote News RSS

Request Copy of Certificate

Please use the following form to request copies of all sacramental certificates. Fill out completely for fastest service.
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED
  Street Address
  Please fill out this field. Please enter valid data.
- Address Line 2 Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Date of Birth (mm/dd/yyyy) Please enter a date.
- Contact Person (if different from above) Please enter valid data.
- I would like to receive copies of the following certificates: Baptism Communion Confirmation Marriage
- Please enter year sacrament received:
  
  Year of Baptism Please enter valid data.
  
  Year of Communion Please enter valid data.
  
  Year of Confirmation Please enter valid data.
  
  Year of Marriage Please enter valid data.
- Copies will be: Picked up at the Parish Office Sent by mail to the address above
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

parish of Our Lady of Good Counsel †
St. peter † St. Paul † Assumption