Certificate Request Form

Certificate Request Form

Thank you for reaching out to obtain a certificate! We will respond to your request within 2 business days.
Your name *

First Name Last Name
Your email *
example@example.com
Your phone number *

Area Code Phone Number
About the certificate

Tell us more about the person for whom you are requesting this certificate.
For whom are you requesting this certificate? *

Me My child (under 18 years old) An adult relative of mine (adult child, sister, brother, etc.) I work at a Church, and I'm requesting this record for my parishioner
If your child/relative is 18 or over, he/she needs to complete this form - a parent/relative may not do it for him/her. Please send him/her this link to complete the form.
Name of person on the certificate: *

First Name Middle Name Last Name Maiden name, if applicable
Birthdate of person on the certificate: *

Month Day Year
Date
Type of certificate I'm requesting: *

Baptism certificate First Holy Eucharist certificate Confirmation certificate Marriage certificate Sponsor/Godparent certificate
Do you know the approximate date this sacrament occurred? *
Any info - year, month, etc. - is helpful!
Upcoming event

Tell us more about the event that prompted you to request this certificate.
Reason I'm requesting this certificate: *

Baptism First Holy Eucharist Confirmation Wedding
Date of above-mentioned event: *

Month Day Year
Date
Name of church where above-mentioned event will happen: *
Address of church where above-mentioned event will happen: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Next Steps

Please allow 2 business days for us to respond to your request.
Once the certificate is ready: *

Please notify me, and I'll pick it up at the Parish Center. (Please check our website for hours/days of operation). Please mail it to me.
Mail to:

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Any other comments / info you'd like us to know?
Should be Empty:

Certificate Request Form

About the certificate

Upcoming event

Next Steps