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  • Parish REQUIRED (Select One) St. Augustine Our Lady of Victory St. Augustine-Our Lady of Victory Please fill out this field.
  • Sacrament REQUIRED (Select One) Baptismal First Holy Communion Confirmation Marriage Please fill out this field.
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • Approximate date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  • Father's Name REQUIRED Please fill out this field. Please enter valid data.
  • Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  • Name of Person Requesting REQUIRED Please fill out this field. Please enter valid data.
  • 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.
  • Address REQUIRED Please fill out this field. Please enter valid data.
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