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Sacrament Certificate Request

- To request a certificate for a sacrament received at Epiphany of the Lord Catholic Church, please provide the details below.
  Please note: To protect privacy, certificates for minors can only be requested by a parent or legal guardian. Individuals aged 18 or older must request their own certificates.
- This form is not accepting responses at this time.
  
  Who is requesting this certificate?
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the person named on the certificate REQUIRED Parent or Legal Guardian Self Please fill out this field.
  
  Who is the person named on the certificate?
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (as it would have been recorded at the time of the sacrament) REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Date Sacrament was Received (If unknown, please approximate) REQUIRED Please fill out this field. Please enter valid data.
  
  Which Sacramental Certificate is being Requested REQUIRED Baptism First Communion Confirmation Profession of Faith Marriage Please fill out this field.
  
  Please allow up to two weeks for your certificate to be processed. We will contact you as soon as it is ready for pickup at the parish office. If you would prefer to have the certificate mailed, please provide the address below.
  
  Address Please enter valid data.
  
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