Sacramental Certificates

- Liturgy & Sacraments

In order to obtain sacramental certificates, please fill out the following form and submit with payment. After submission, the parish office will reach out to you.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.
- Please Select Sacraments For Which You Need A
- Sacramental Certificate REQUIRED
  10 – Baptism
  10 – First Communion
  10 – Confirmation
  10 – Marriage Please fill out this field.
- Your relationship to this person
  (self, mother, father, son, daughter, etc. please specify)
  REQUIRED Please fill out this field. Please enter valid data.
- Father's name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.
- Mother's name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.
- Date of Sacrament
  REQUIRED Please fill out this field. Please enter a date.
- I agree that I have the right to access this information
  on behalf of the person named as receiving the Sacrament. Please select this field.
- I understand and agree that a request of archival search
  for old records does not guarantee that records
  will be found. Please select this field.
- I understand and agree that the sacramental certificate
  fee is non-refundable. Please select this field.
- I confirm that I am requesting a sacramental certificate
  from St Stanislaus Kostka Church located in Chicago
  at 1351 W Evergreen Ave. Please select this field.
- I agree to pay the online convenience fee (3%) REQUIRED Yes Please fill out this field.
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