Clone of Request for a Communion/Confirmation Certificate

Request for a Communion/Confirmation Certificate

Please use this form to request a copy of a your Communion or Confirmation Certificate. Pleased use a separate form if you are requesting BOTH a communion and confirmation certificate! Provide any information you have to assist us in finding the requested record. (An individual must have received communion or confirmation at St. Thomas the Apostle Church for a certificate to be prepared)
CommunionConfirmation
Approximate date of Communion/Confirmation*

MonthDayYear
Date
Name of person who received Communion/Confirmation rat Saint Thomas Church*

First NameLast Name
Name of person requesting certificate*

First NameLast Name
Phone Number of person requesting certificate*
Please enter a valid phone number.Format: (000) 000-0000.
Mailed to address belowPicked up at rectory during business hours (24 Westminster Road West HEmpstead, NY)
Address where we can mail the certificate

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature
Please verify that you are human*
Communion/Confirmation Certificate
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Communion/Confirmation certificate
Your voluntary contribution of $10 to Saint Thomas Church will asist us in the processing of your certificate

$10.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.