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Sacrament Certificate Request - Peticion para copia de un Certificado Sacramental

- Sacraments

The maximum number of form submissions has been reached. This form is currently not available.
- Please note that a copy of your STATE ISSUED ID MUST be emailed to rwicker@santacruzcc.org in order to complete this request.
  **IF WE DO NOT HAVE THIS - YOUR REQUEST WILL NOT BE PROCESSED.**
  Tenga en cuenta que se DEBE ENVIAR por correo electrónico una copia de su IDENTIFICACIÓN EMITIDA POR EL ESTADO a rwicker@santacruzcc.org para completar esta solicitud.
  **SI NO TENEMOS ESTO, SU SOLICITUD NO SERÁ PROCESADA.**
- Baptized Name / Nombre de Bautizo: REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth / Fecha de Nacimiento: REQUIRED Please fill out this field. Please enter a date.
- Type of Certificate Requested Certificado Requerido?: REQUIRED Please fill out this field.
- Father's Full Name / Nombre del Padre: REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name / Nombre de la Madre: REQUIRED Please fill out this field. Please enter valid data.
- Date Sacrament Celebrated / Fecha del Sacramento: REQUIRED Please fill out this field. Please enter a date.
- Requested by / Pedido por: REQUIRED Please fill out this field.
- Emailed copy of State issued ID to rwicker@santacruzcc.org: REQUIRED Yes Please fill out this field.
- Date of Request / Fecha de Peticion: REQUIRED Please fill out this field. Please enter a date.
- Phone Number / Numero de Telfono: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- How would you like to receive this certificate? / ¿Cómo le gustaría recibir este certificado? REQUIRED Please fill out this field.
- Name / Nombre: Please enter valid data.
- Address / Direccion de envio Please enter valid data.
- City / Ciudad Please enter valid data.
- State / Estado Please enter valid data.
- Zip Code / Codigo Postal Please enter valid data.
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