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Certificate Request

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- PARISH REQUIRED Please fill out this field.
- Sacrament REQUIRED Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Approximate date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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ATTENTION Processing will take 7-10 bussiness days once your request is reviewed. You will be contacted by Phone. If you have any questions Feel Free to Contact us.

PARISH OF
ST. BRENDAN & ST. ANN