Request for Baptismal Certificate
NOTE – Only the person who was baptized, their parents or legal guardian (if a minor) or another Catholic parish can request a certificate.
Please allow up to one week for processing
Name of Person Requesting Letter: *
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Email: *
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Phone: *
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Address: *
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Name of Baptized Person: *
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Date of Birth: *
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YYYY
Approximate Date of Baptism: *
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DD
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YYYY
Father's Full Name: *
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Mother's Full Maiden Name: *
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Reason for Request: *
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Where would you like the certificate mailed to?
Name/Church: *
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Address: *
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City: *
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State: *
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Zip: *
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Other Comments:
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