Sacramental Records - Certificate Request

- If you were baptized, received First Eucharist, were confirmed or married at St. Louise de Marillac Parish, we are happy to supply a copy of your sacramental record.
  If you have any questions or concerns, feel free to contact the Parish Office by calling us at (626) 915-7873.
  Our Location: St. Louise de Marillac Parish 1720 E. Covina Blvd, Covina, CA 91724
- The maximum number of form submissions has been reached. This form is currently not available.
  
  What type of certificate are you requesting? Baptism Certificate First Communion Certificate Confirmation Certificate Marriage Certificate
  
  How do you want the certificate delivered? I want to pick it up at the parish office. I want it mailed to an address. I want a copy emailed.
  
  Mailing Address (if to be mailed)
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Name of the Individual on the Record (Please use Maiden Name, if applicable)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth for Certificate Record REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth Please enter valid data.
  
  State of Birth Please enter valid data.
  
  Approximate Year Sacrament was Received Please enter valid data.
  
  Father's Name (First, Last Name) Please enter valid data.
  
  Mother's Name (First, Maiden Last Name) Please enter valid data.
  
  Relationship to the Name on the Record REQUIRED Please fill out this field.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Your Message
  
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Sacramental Records - Certificate Request

Our Location: St. Louise de Marillac Parish 1720 E. Covina Blvd, Covina, CA 91724