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Request Copy of Certificate

Please use the following form to request copies of all sacramental certificates. Fill out completely for fastest service.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED
  Street Address
  Please fill out this field. Please enter valid data.
- Address Line 2 Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Date of Birth (mm/dd/yyyy) Please enter a date.
- Contact Person (if different from above) Please enter valid data.
- I would like to receive copies of the following certificates: Baptism Communion Confirmation Marriage
- Please enter year sacrament received:
  
  Year of Baptism Please enter valid data.
  
  Year of Communion Please enter valid data.
  
  Year of Confirmation Please enter valid data.
  
  Year of Marriage Please enter valid data.
- Copies will be: Picked up at the Parish Office Sent by mail to the address above
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Our Lady of Good Counsel Parish