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St. Catherine of Siena
Catholic Church

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REQUEST FOR CERTIFICATE

Please fill out the following form
so we can issue a certificate of your sacrament.

First Name / Primer Nombre

Last Name / Apellido

Phone number / Numero de Telefono

Date of Birth / Fecha de nacimiento

Father's name / Nombre del papa

Mother's name / Nombre de la mama

Sacrament / Sacramentos

Baptism / Bautismo

First communion / Primera Comunion

Confirmation / Confirmacion

Marriage / Matrimonio

Date received the sacrament? Fecha cuando recibio el sacrameno

Why do you need a certificate? Para que necesita el certificado?

Initial / Nombre

Thanks for submitting!

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St. Catherine of Siena - Tarboro

1004 Saint David St., Tarboro, NC 27886 | parish@scstar.org | Tel: 252-563-4567

Mass Hours: Tue - 9am | Wed - 9am and 7pm | Sunday: 8:30am, 10am and 12nn

©2023 by St. Catherine of Siena Catholic Church

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