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Sacrament Certificate Request Form
Solicitud de Certificado Sacramental

- Sacraments/Funerals

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- Full Name at Baptism / Nombre Completo al Bautizarse REQUIRED Please fill out this field. Please enter valid data.
- Father's Name / Nombre Completo del Padre REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Maiden Name / Nombre Completo de la Madre (de Soltera) REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
- Phone Number / Número de Teléfono REQUIRED Please fill out this field. Please enter valid data.
- Date of Sacrament Received (Exact or Approximate) Fecha de Sacramento Recibido (Fecha Exacta o Aproximada) REQUIRED Please fill out this field. Please enter valid data.
- Email Address / Correo Electrónico Please enter valid data.
- Sacrament Received / Sacramento Recibido REQUIRED Please fill out this field.
- CERTIFICATE INFORMATION REQUIRED $15 - Baptism / Bautismo $15 - First Eucharist / Primera Comunión $15 - Confirmation / Confirmación $15 - Wedding / Matrimonio Please fill out this field.
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