Immaculate Heart of Mary

Belmont, CA

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Sacramental Records

- Sacraments

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- Request For Sacramental Records
  Parish Office will contact you as soon as possible.
- Record Requested
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- What is the certificate needed for? REQUIRED Please fill out this field.
- Please include the following information:
  
  For Baptism Certificate - please include the full name, date of birth, parent names and approximate year of Baptism
  
  For Communion & Confirmation Certificates - please include full name, date of birth and approximate year of First Communion or Confirmation.
  
  For Marriage Certificate - please include full name of both bride and groom and date of wedding
- Message (200 characters maximum)
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