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Baptism Certificate and/or Info Request Form

- BAPTISMAL INFO AND/OR CERTIFICATE (official sacrament record) REQUEST
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Please note: This request is for an official Baptism certificate with notations of other Sacraments. It is different from the ceremonial certificate given to families as keepsakes at the time of Baptism.
  
  DO YOU NEED THE CERTIFICATE OR JUST THE DATE OF BAPTISM? REQUIRED CERTIFICATE DATE ONLY Please fill out this field.
  
  Name of Person Requesting Certificate: Please enter valid data.
  
  First Name of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (maiden name if female) of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mailing Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birth Date of the Baptized Person: REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism of the Baptized Person: If specific date is unknown please share the estimated month or year. Please enter a date.
  
  Father's First and Last Name & Mother's First and Maiden Name: REQUIRED Please fill out this field. Please enter valid data.
  
  How would you like to receive the certificate? REQUIRED Please e-mail the certificate to the e-mail above. Mail to the USPS mailing address above. Please fill out this field.
  
  Submit
  
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- *Baptismal INFORMATION AND/OR Certificate Requests MAY TAKE UP TO TWO WEEKS to complete.
  THANK YOU FOR YOUR PATIENCE.

Baptism Certificate and/or Info Request Form

*Baptismal INFORMATION AND/OR Certificate Requests MAY TAKE UP TO TWO WEEKS to complete.

**Baptismal INFORMATION AND/OR Certificate Requests MAY TAKE UP TO TWO WEEKS to complete.*