Sacramental Certificates

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

10.0 – Baptism

10.0 – First Communion

10.0 – Confirmation

10.0 – Marriage

10.0 – Death - record lookup 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.

Mother's name of person who received the Sacrament 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.

Date of Sacrament
*if date of sacrament prior to year 1900
*then proceed to next field to enter date Please enter a date.

Date of Sacrament
*if sacrament prior to year 1900, then enter date here Please enter valid data.

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 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 understand and agree that the sacramental certificate
search may take a long-time if the records are very old (before 1950). 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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