Phone Flocknote Facebook YouTube

- Home

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.
The maximum number of form submissions has been reached. This form is currently not available.
- 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.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

ST. ANTHONY PARISH

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.