Type of Certificate * Baptism Baptism with notations 1st Communion Confirmation Marriage   To request a certificate you must be making request for yourself (as an adult), your child (as parent or legal guardian), or on behalf of a church who is preparing someone for the sacraments. I am Making this request on behalf of: * -- Choose One -- Myself - I am an adult Child - I am the legal guardian A Roman Catholic Parish whom I represent Date of Birth Place of Birth Baptism Date Marriage Date 1st Communion Date Confirmation Date Godparents or Sponsor Name Mothers Maiden Name YOUR INFORMATION   Name of Person Making Request * Your Last Name Address * City * State - - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Your email address *   Cell Phone Number Other Phone Number Comments       Enter Security Code Exactly As Shown *