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request certificate

If you completed a Sacrament at St. Anthony's and would like to request for a certificate, please fill out the form below. There is a processing fee of $10 per certificate. We will contact you to arrange for payment when we process your request. Thank you.
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- Date REQUIRED Please fill out this field. Please enter a date.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Request for the following Sacramental Certificates REQUIRED
  Please check off the certificates you are requesting.
  Baptism First Holy Communion Confirmation Marriage Please fill out this field.
- Additional information needed to look up the record. REQUIRED Please fill out this field.
- How do you want your certificate(s) sent to you? REQUIRED Please fill out this field.
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ST. ANTHONY
CATHOLIC CHURCH

UPLAND, CA

request certificate

If you completed a Sacrament at St. Anthony's and would like to request for a certificate, please fill out the form below. There is a processing fee of $10 per certificate. We will contact you to arrange for payment when we process your request. Thank you.