SACRAMENTAL CERTIFICATE REQUEST

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Service fee of $15 per certificate which can be paid in cash (exact change) or check (made payable to ST. ANN CATHOLIC CHURCH). Payment may be mailed to

ST. ANN CATHOLIC CHURCH, 446 W Church Ave. Ridgecrest, CA 93555

Please allow 2-4 business days for your request to be processed. Once your certificate(s) are ready, we will call when it's available for pick-up.

If you have any questions please contact the parish office at (760) 375-2110 or via email at church@parishofsaintann.org.

Name *

Email *

Telephone Number *

Date of Birth *

YYYY

Certificate Requested *

Baptism

First Communion

Confirmation

Parents Name *

Approximate date of sacrament (s)

(Please provide with at least the approximate year):

Name & Address

(If mailing option was Chosen)

Any questions or comments:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Saint Ann School.

Does this form look suspicious? Report

Forms