Request a Sacramental Certificate

Please fill out the following form to obtain a certificate. Persons 18 years and older must request the certificate for themselves. Parents and guardians may request a certificate for minor children in their care.

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Your Full Name: *

Relationship to Recipient: *

Your Email:

Your Phone Number (no punctuation): *

Your Mailing Address: *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Reason for the Request:

Name on Sacramental Record Needed (Recipient): *

Date of Recipient's Birth: *

Month

Day

Year

Approximate Date of Recipient's Sacrament:

Month

Day

Year

Recipient's Father's Full Name: *

Recipient's Mother's Full Name, Including Maiden Name: *

Pick-up or Mail: *

Please mail my certificates to the address above.

I will pick up certificate in the parish office when it is ready.

Additional Comments:

Leave this field blank

Request a Sacramental Certificate

Our Lady of Grace Parish • 2766 Navajo Road • El Cajon, CA 92020

Telephone: (619) 469-0133 • Fax: (619) 469-0575

To send an email to staff members, click on the "Contact Us" link at the top of the website.