St. Patrick's Church

Staten Island, NY

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Certificate Requests

Which Certificate are you requesting? Please be aware that we are not required to keep First Holy Communion Reconciliation dates.
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- Certificate Requested Baptism Only Baptism w/Notations (usually for Marriage) 1st Holy Communion Confirmation Marriage
- Approximate date Sacrament received if other than Baptism: Please enter valid data.
- Name (as it would appear on certificate): Please enter valid data.
- Date of Birth: Please enter valid data.
- Approximate Date of Baptism Please enter valid data.
- Father's Name Please enter valid data.
- Mother's Name (including maiden name): Please enter valid data.
- Name of person making request: Please enter valid data.
- Contact Phone #: Please enter valid data.
- Contact Email REQUIRED Please fill out this field. Please enter an email address.
- Where are we mailing the record? (As of January 2019, records are not available to be picked up at the office):
- Street Address Please enter valid data.
- Ste/Apt/Unit Please enter valid data.
- City, State, Zip Please enter valid data.
- Church/School Name (if applicable): Please enter valid data.
- Who's attention should the record be mailed to? Please enter valid data.
- Additional Comments:
- Date Needed (please be aware that it takes between 2 days and a week to complete a request, not including mailing time): Please enter valid data.
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