If you were baptized at our parish, or received other sacraments here, and have a certificate request to make of Our Lady of Loretto Church, be sure to complete the below form to help us retrieve your records: Request Sacramental Certificate "*" indicates required fields Step 1 of 5 20% Requestor Name First Last Best phone number to contact you*Your Email For how many persons are you requesting the sacramental certificates?*12 Request #1 InfoName* First Last Birth Date* MM slash DD slash YYYY Father's First and Last Name* Mother's First, Maiden, and Last Name* Sacramental Certificates Needed* Baptism First Holy Communion Confirmation Marriage Select AllApproximate Date of Baptism* MM slash DD slash YYYY Approximate Date of First Holy Communion* MM slash DD slash YYYY Approximate Date of Confirmation* MM slash DD slash YYYY Approximate Date of Marriage* MM slash DD slash YYYY Request #2 InfoName* First Last Birth Date* MM slash DD slash YYYY Father's First and Last Name* Mother's First, Maiden, and Last Name* Sacramental Certificates Needed* Baptism First Holy Communion Confirmation Marriage Select AllApproximate Date of Baptism* MM slash DD slash YYYY Approximate Date of First Holy Communion* MM slash DD slash YYYY Approximate Date of Confirmation* MM slash DD slash YYYY Approximate Date of Marriage* MM slash DD slash YYYY Do you like to pick it up at the parish office?* Yes, I’d pick it up at the parish office Please mail it to the address below Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How do you like to make the payment?* Online In-Person at the Parish Office The requested donation is $10 per sacramental certificate.Online PaymentThe requested donation is $10 per sacramental certificate. A nominal online transaction fee will be applied.Product Name*One Sacramental CertificateTwo Sacramental CertificatesThree Sacramental CertificatesFour Sacramental CertificatesFive Sacramental CertificatesSix Sacramental CertificatesSeven Sacramental CertificatesEight Sacramental CertificatesTotal Credit Card*Card Details Cardholder Name NameThis field is for validation purposes and should be left unchanged.
