{"id":8413,"date":"2021-08-02T21:12:22","date_gmt":"2021-08-03T01:12:22","guid":{"rendered":"https:\/\/stgenevieve-stmaurice.org\/parish\/?page_id=8413"},"modified":"2021-08-02T21:12:22","modified_gmt":"2021-08-03T01:12:22","slug":"sacrament-certificate-request-form","status":"publish","type":"page","link":"https:\/\/stgenevieve-stmaurice.org\/parish\/sacrament-certificate-request-form\/","title":{"rendered":"Sacrament Certificate Request Form"},"content":{"rendered":"<h4>Sacramental Certificate Request Form<\/h4>\n<p>In order to protect the confidentiality of these records, certificates will only be issued to the individual named on the certificate, the parent or guardian of a minor child, or a requesting parish.<\/p>\n<p><strong>No certificates are issued for genealogical purposes.<\/strong><\/p>\n<div id=\"usermessage3a\" class=\"cf_info \"><\/div><form enctype=\"multipart\/form-data\" action=\"\/parish\/wp-json\/wp\/v2\/pages\/8413#usermessage3a\" method=\"post\" class=\"cform sacramental-certificate-request \" id=\"cforms3form\"><fieldset class=\"cf-fs1\" style=\"\"><legend>Sacramental Certificate Request<\/legend><ol class=\"cf-ol\"><li id=\"li-3-2\" class=\"\"><label id=\"label-3-2\" for=\"cf3_field_2\"><span>Full name at time of baptism<\/span><\/label><input type=\"text\" name=\"cf3_field_2\" id=\"cf3_field_2\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-3\" class=\"\"><label id=\"label-3-3\" for=\"cf3_field_3\"><span>Father&#039;s Full Name<\/span><\/label><input type=\"text\" name=\"cf3_field_3\" id=\"cf3_field_3\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-4\" class=\"\"><label id=\"label-3-4\" for=\"cf3_field_4\"><span>Mother&#039;s Full Maiden Name<\/span><\/label><input type=\"text\" name=\"cf3_field_4\" id=\"cf3_field_4\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-5\" class=\"\"><label id=\"label-3-5\" for=\"cf3_field_5\"><span>Date of Birth<\/span><\/label><input  type=\"date\" name=\"cf3_field_5\" id=\"cf3_field_5\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-6\" class=\"\"><label id=\"label-3-6\" for=\"cf3_field_6\"><span>Date of Baptism<\/span><\/label><input  type=\"date\" name=\"cf3_field_6\" id=\"cf3_field_6\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-7\" class=\"\"><label id=\"label-3-7\" for=\"cf3_field_7\"><span>Age at Baptism<\/span><\/label><input  type=\"number\" name=\"cf3_field_7\" id=\"cf3_field_7\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-8\" class=\"\"><label id=\"label-3-8\" for=\"cf3_field_8\"><span>Name of Priest\/Deacon who officiated<\/span><\/label><input type=\"text\" name=\"cf3_field_8\" id=\"cf3_field_8\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-9\" class=\"\"><label id=\"label-3-9\" for=\"cf3_field_9\"><span>Godfather<\/span><\/label><input type=\"text\" name=\"cf3_field_9\" id=\"cf3_field_9\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-10\" class=\"\"><label id=\"label-3-10\" for=\"cf3_field_10\"><span>Godmother<\/span><\/label><input type=\"text\" name=\"cf3_field_10\" id=\"cf3_field_10\" class=\"single\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs2\" style=\"\"><legend>Holy Communion<\/legend><ol class=\"cf-ol\"><li id=\"li-3-12\" class=\"\"><label id=\"label-3-12\" for=\"cf3_field_12\"><span>Church<\/span><\/label><input type=\"text\" name=\"cf3_field_12\" id=\"cf3_field_12\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-13\" class=\"\"><label id=\"label-3-13\" for=\"cf3_field_13\"><span>City<\/span><\/label><input type=\"text\" name=\"cf3_field_13\" id=\"cf3_field_13\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-14\" class=\"\"><label id=\"label-3-14\" for=\"cf3_field_14\"><span>State<\/span><\/label><select name=\"cf3_field_14\" id=\"cf3_field_14\" class=\"cformselect\" title=\"\"><option value=\" \"> <\/option><option value=\"AL\">AL<\/option><option value=\"AK\">AK<\/option><option value=\"AZ\">AZ<\/option><option value=\"AR\">AR<\/option><option value=\"CA\">CA<\/option><option value=\"CO\">CO<\/option><option value=\"CT\">CT<\/option><option value=\"DE\">DE<\/option><option value=\"FL\">FL<\/option><option value=\"GA\">GA<\/option><option value=\"HI\">HI<\/option><option value=\"ID\">ID<\/option><option value=\"IL\">IL<\/option><option value=\"IN\">IN<\/option><option value=\"IA\">IA<\/option><option value=\"KS\">KS<\/option><option value=\"KY\">KY<\/option><option value=\"LA\">LA<\/option><option value=\"ME\">ME<\/option><option value=\"MD\">MD<\/option><option value=\"MA\">MA<\/option><option value=\"MI\">MI<\/option><option value=\"MN\">MN<\/option><option value=\"MS\">MS<\/option><option value=\"MO\">MO<\/option><option value=\"MT\">MT<\/option><option value=\"NE\">NE<\/option><option value=\"NV\">NV<\/option><option value=\"NH\">NH<\/option><option value=\"NJ\">NJ<\/option><option value=\"NM\">NM<\/option><option value=\"NY\">NY<\/option><option value=\"NC\">NC<\/option><option value=\"ND\">ND<\/option><option value=\"OH\">OH<\/option><option value=\"OK\">OK<\/option><option value=\"OR\">OR<\/option><option value=\"PA\">PA<\/option><option value=\"RI\">RI<\/option><option value=\"SC\">SC<\/option><option value=\"SD\">SD<\/option><option value=\"TN\">TN<\/option><option value=\"TX\">TX<\/option><option value=\"UT\">UT<\/option><option value=\"VT\">VT<\/option><option value=\"VA\">VA<\/option><option value=\"WA\">WA<\/option><option value=\"WV\">WV<\/option><option value=\"WI\">WI<\/option><option value=\"WY\">WY<\/option><\/select><\/li><li id=\"li-3-15\" class=\"\"><label id=\"label-3-15\" for=\"cf3_field_15\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf3_field_15\" id=\"cf3_field_15\" class=\"\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs3\" style=\"\"><legend>Confirmation<\/legend><ol class=\"cf-ol\"><li id=\"li-3-17\" class=\"\"><label id=\"label-3-17\" for=\"cf3_field_17\"><span>Church<\/span><\/label><input type=\"text\" name=\"cf3_field_17\" id=\"cf3_field_17\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-18\" class=\"\"><label id=\"label-3-18\" for=\"cf3_field_18\"><span>City<\/span><\/label><input type=\"text\" name=\"cf3_field_18\" id=\"cf3_field_18\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-3-19\" class=\"\"><label id=\"label-3-19\" for=\"cf3_field_19\"><span>State<\/span><\/label><select name=\"cf3_field_19\" id=\"cf3_field_19\" class=\"cformselect\" title=\"\"><option value=\" \"> <\/option><option value=\"AL\">AL<\/option><option value=\"AK\">AK<\/option><option value=\"AZ\">AZ<\/option><option value=\"AR\">AR<\/option><option value=\"CA\">CA<\/option><option value=\"CO\">CO<\/option><option value=\"CT\">CT<\/option><option value=\"DE\">DE<\/option><option value=\"FL\">FL<\/option><option value=\"GA\">GA<\/option><option value=\"HI\">HI<\/option><option value=\"ID\">ID<\/option><option value=\"IL\">IL<\/option><option value=\"IN\">IN<\/option><option value=\"IA\">IA<\/option><option value=\"KS\">KS<\/option><option value=\"KY\">KY<\/option><option value=\"LA\">LA<\/option><option value=\"ME\">ME<\/option><option value=\"MD\">MD<\/option><option value=\"MA\">MA<\/option><option value=\"MI\">MI<\/option><option value=\"MN\">MN<\/option><option value=\"MS\">MS<\/option><option value=\"MO\">MO<\/option><option value=\"MT\">MT<\/option><option value=\"NE\">NE<\/option><option value=\"NV\">NV<\/option><option value=\"NH\">NH<\/option><option value=\"NJ\">NJ<\/option><option value=\"NM\">NM<\/option><option value=\"NY\">NY<\/option><option value=\"NC\">NC<\/option><option value=\"ND\">ND<\/option><option value=\"OH\">OH<\/option><option value=\"OK\">OK<\/option><option value=\"OR\">OR<\/option><option value=\"PA\">PA<\/option><option value=\"RI\">RI<\/option><option value=\"SC\">SC<\/option><option value=\"SD\">SD<\/option><option value=\"TN\">TN<\/option><option value=\"TX\">TX<\/option><option value=\"UT\">UT<\/option><option value=\"VT\">VT<\/option><option value=\"VA\">VA<\/option><option value=\"WA\">WA<\/option><option value=\"WV\">WV<\/option><option value=\"WI\">WI<\/option><option value=\"WY\">WY<\/option><\/select><\/li><li id=\"li-3-20\" class=\"\"><label id=\"label-3-20\" for=\"cf3_field_20\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf3_field_20\" id=\"cf3_field_20\" class=\"\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs4\" style=\"\"><legend>Requesting<\/legend><ol class=\"cf-ol\"><li id=\"li-3-22\" class=\"\"><label id=\"label-3-22\" for=\"cf3_field_22\" class=\"cf-before\"><span>Baptismal Certificate<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_22\" id=\"cf3_field_22\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-3-23\" class=\"\"><label id=\"label-3-23\" for=\"cf3_field_23\" class=\"cf-before\"><span>First Communion Certificate<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_23\" id=\"cf3_field_23\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-3-24\" class=\"\"><label id=\"label-3-24\" for=\"cf3_field_24\" class=\"cf-before\"><span>Confirmation Certificate<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_24\" id=\"cf3_field_24\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-3-25\" class=\"\"><label id=\"label-3-25\" for=\"cf3_field_25\" class=\"cf-before\"><span>Marriage Certificate<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_25\" id=\"cf3_field_25\" class=\"cf-box-b\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs5\" style=\"\"><legend>Person requesting certificate:<\/legend><ol class=\"cf-ol\"><li id=\"li-3-27\" class=\"\"><label id=\"label-3-27\" for=\"cf3_field_27\"><span>Full Name<\/span><\/label><input type=\"text\" name=\"cf3_field_27\" id=\"cf3_field_27\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-28\" class=\"\"><label id=\"label-3-28\" for=\"cf3_field_28\"><span>Street Address<\/span><\/label><input type=\"text\" name=\"cf3_field_28\" id=\"cf3_field_28\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-29\" class=\"\"><label id=\"label-3-29\" for=\"cf3_field_29\"><span>City<\/span><\/label><input type=\"text\" name=\"cf3_field_29\" id=\"cf3_field_29\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-30\" class=\"\"><label id=\"label-3-30\" for=\"cf3_field_30\"><span>State<\/span><\/label><select name=\"cf3_field_30\" id=\"cf3_field_30\" class=\"cformselect fldrequired\" title=\"\"><option value=\" \"> <\/option><option value=\"AL\">AL<\/option><option value=\"AK\">AK<\/option><option value=\"AZ\">AZ<\/option><option value=\"AR\">AR<\/option><option value=\"CA\">CA<\/option><option value=\"CO\">CO<\/option><option value=\"CT\">CT<\/option><option value=\"DE\">DE<\/option><option value=\"FL\">FL<\/option><option value=\"GA\">GA<\/option><option value=\"HI\">HI<\/option><option value=\"ID\">ID<\/option><option value=\"IL\">IL<\/option><option value=\"IN\">IN<\/option><option value=\"IA\">IA<\/option><option value=\"KS\">KS<\/option><option value=\"KY\">KY<\/option><option value=\"LA\">LA<\/option><option value=\"ME\">ME<\/option><option value=\"MD\">MD<\/option><option value=\"MA\">MA<\/option><option value=\"MI\">MI<\/option><option value=\"MN\">MN<\/option><option value=\"MS\">MS<\/option><option value=\"MO\">MO<\/option><option value=\"MT\">MT<\/option><option value=\"NE\">NE<\/option><option value=\"NV\">NV<\/option><option value=\"NH\">NH<\/option><option value=\"NJ\">NJ<\/option><option value=\"NM\">NM<\/option><option value=\"NY\">NY<\/option><option value=\"NC\">NC<\/option><option value=\"ND\">ND<\/option><option value=\"OH\">OH<\/option><option value=\"OK\">OK<\/option><option value=\"OR\">OR<\/option><option value=\"PA\">PA<\/option><option value=\"RI\">RI<\/option><option value=\"SC\">SC<\/option><option value=\"SD\">SD<\/option><option value=\"TN\">TN<\/option><option value=\"TX\">TX<\/option><option value=\"UT\">UT<\/option><option value=\"VT\">VT<\/option><option value=\"VA\">VA<\/option><option value=\"WA\">WA<\/option><option value=\"WV\">WV<\/option><option value=\"WI\">WI<\/option><option value=\"WY\">WY<\/option><\/select><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-31\" class=\"\"><label id=\"label-3-31\" for=\"cf3_field_31\"><span>Zip Code<\/span><\/label><input required=\"required\"  type=\"number\" name=\"cf3_field_31\" id=\"cf3_field_31\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-32\" class=\"\"><label id=\"label-3-32\" for=\"cf3_field_32\"><span>Daytime Phone<\/span><\/label><input required=\"required\"  type=\"tel\" name=\"cf3_field_32\" id=\"cf3_field_32\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-3-33\" class=\"\"><label id=\"label-3-33\" for=\"cf3_field_33\"><span>Email Address<\/span><\/label><input  type=\"email\" name=\"cf3_field_33\" id=\"cf3_field_33\" class=\" fldemail\" value=\"\" title=\"\"\/><span class=\"emailreqtxt\">(valid email required)<\/span><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs6\" style=\"\"><legend>Reason for request<\/legend><ol class=\"cf-ol\"><li id=\"li-3-35\" class=\"\"><label id=\"label-3-35\" for=\"cf3_field_35\" class=\"cf-before\"><span>sacramental<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_35\" id=\"cf3_field_35\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-3-36\" class=\"\"><label id=\"label-3-36\" for=\"cf3_field_36\" class=\"cf-before\"><span>annulment<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_36\" id=\"cf3_field_36\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-3-37\" class=\"\"><label id=\"label-3-37\" for=\"cf3_field_37\" class=\"cf-before\"><span>civil purpose<\/span><\/label><input type=\"checkbox\" name=\"cf3_field_37\" id=\"cf3_field_37\" class=\"cf-box-b\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs7\" style=\"\"><legend>Submit Form<\/legend><ol class=\"cf-ol\"><li id=\"li-3-39\" class=\"\"><label id=\"label-3-39\" for=\"cf3_field_39\"><span>I confirm this information is accurate<\/span><\/label><select name=\"cf3_field_39\" id=\"cf3_field_39\" class=\"cformselect\" title=\"\"><option value=\" \"> <\/option><option value=\"yes\">yes<\/option><option value=\"no\">no<\/option><\/select><\/li><li id=\"li-3-40\" class=\"\"><label id=\"label-3-40\" for=\"cf3_field_40\"><span>Message:<\/span><\/label><textarea cols=\"30\" rows=\"8\" name=\"cf3_field_40\" id=\"cf3_field_40\" class=\"area\" title=\"\"><\/textarea><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs8\" style=\"\"><legend>Verification<\/legend><ol class=\"cf-ol\"><li id=\"li-3-42\" class=\"\"><label for=\"cf3_field_42\" class=\"secq\"><span>Ten minus five equals<\/span><\/label><input type=\"text\" name=\"cforms2_question_and_answer\" id=\"cf3_field_42\" class=\"secinput fldrequired \" title=\"\"\/><input type=\"hidden\" name=\"cforms2_question_and_answer\/hint\" value=\"2\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf_hidden\"><legend>&nbsp;<\/legend><input type=\"hidden\" name=\"cf_working3\" id=\"cf_working3\" value=\"One moment please...\"\/><input type=\"hidden\" name=\"cf_failure3\" id=\"cf_failure3\" value=\"Please fill in all the required fields.\"\/><input type=\"hidden\" name=\"cf_customerr3\" id=\"cf_customerr3\" value=\"y\"\/><\/fieldset><p class=\"cf-sb\"><input type=\"submit\" name=\"sendbutton3\" id=\"sendbutton3\" class=\"sendbutton\" value=\"Submit\" \/><\/p><\/form>\n","protected":false},"excerpt":{"rendered":"<p>Sacramental Certificate Request Form In order to protect the confidentiality of these records, certificates will only be issued to the individual named on the certificate, the parent or guardian of a minor child, or a requesting parish. No certificates are issued for genealogical purposes.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-8413","page","type-page","status-publish","hentry","ctfw-no-image"],"_links":{"self":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/8413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/comments?post=8413"}],"version-history":[{"count":1,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/8413\/revisions"}],"predecessor-version":[{"id":8415,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/8413\/revisions\/8415"}],"wp:attachment":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/media?parent=8413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}