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Sacramental Records Request

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  If you are in need of a copy of your Sacramental records or certificates, please fill out the form below.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. 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.
  
  Which records are you looking for? REQUIRED
  Select all that apply.
  Baptism First Communion Confirmation Marriage Please fill out this field.
  
  Where did you receive your Sacrament(s)? REQUIRED Please fill out this field.
  
  Please enter the approximate date(s) you recieve the Sacrament(s) you are seeking records for: REQUIRED
  Minimally provide the month and year if you do not know the exact dates.
  Please fill out this field. Please enter valid data.
  
  Would you like to pick up the records at our office or would you like them mailed to you? REQUIRED Pick up during regular office hours Mail to me at the address indicated above Please fill out this field.
  
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Sacramental Records Request

Christ the King Parish

Pope John XXIII Parish

Epiphany Parish

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