FORMA PARA SOLICITAR CERTIFICADO / Form to request a certificate for a Sacrament Selecciona el certificado / Select the certificate you need *Bautismo / Baptism1ª Comunión / First CommunionConfirmación / ConfirmationNombre Completo cuando recibió el Sacramento / Full Name at the time of the Sacrament *Año que recibió el Sacramento / Year in which the Sacrament was received *Si no está seguro, puede poner el año aproximado / If you are not sure, you can enter an approximate year.Mes que recibió el Sacramento / Month in which the Sacrament was received OPTIONAL: Número del mes (1 a 12) / Number of the month (1 to 12)Día que recibió el Sacramento / Day in which the Sacrament was received OPTIONAL: Número de 1 a 31 / Number between 1 to 31Fecha de nacimiento / Birthdate *Ciudad de Nacimiento / City of Birth *Nombre del Papá / Father’s Name *Nombre de la Mamá / Mother’s Name *Nombre del Padre (o Diácono) que ofició el Sacramento / Name of the Priest (or Deacon) that officiated the Sacrement (Optional Information)Padrino o Madrina #1 / Godfather or Godmother #1 (Optional information)Padrino o Madrina #2 / Godfather or Godmother #2 (Optional information) Si está solicitando un certificado de 1ª Comunión o Confirmación, favor de poner la información de su Bautismo en las 4 próximas casillas si se acuera......[English] If you are requesting a First Communion or Confirmation Certificate, please also answer the following 4 questions about your Baptism if you remember. Año que recibió el Bautismo / Year you were Baptized OPTIONALMes que recibió el Bautismo / Month in which you were Baptized OPTIONAL: Número del mes (1 a 12) / Number of the month (1 to 12)Día que recibió el Bautismo/ Day of the month you were Baptized OPTIONAL: Número de 1 a 31 / Number between 1 to 31Ciudad de Bautismo / City where you were baptized OPTIONALNombre completo de la persona solicitando el certificado / Full Name of Person requesting certificate *Nombre y apellido / First and Last NameDomicilio / Address *Domicilio incluyendo apartamento si aplica / Address including apartment # if applicableCiudad / CityEstado / StateCódigo Postal / Zip CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKosovoKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaSamoaYemenZambiaZimbabwePaís / CountryEmail *Celular / Cell phone *Celular secundario / Secondary Cell phone (Optional)[Español] Con el fin de proteger la privacidad de la persona involucrada, los certificados sólo se emiten a los padres del niño, o a la persona a la que se refiere el registro. He leído la información anterior y certifico que este es mi certificado o el de mi hijo. / ............................[English] In order to protect the privacy of the individual involved, certificates are only issued to the parent of the child, or to whom the person the record is referring. I have read the above information, and certify that this is my own or my child’s certificate *Si / YesSignature * Image Upload * Drop your file here or click here to upload Le doy permiso a St. Mark que me contacten por text a mi teléfono *SiWebsiteSubmit