Saint John Chrysostom Roman Catholic Church
Iglesia Católica Romana San Juan Crisóstomo

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Certificate Request

- Requests / Solicitud
  - Parish Registration Form
  - Certificate Request

Certificate Request Form
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- 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 valid data.
- Mother's Full Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Full Name Please enter valid data.
- Certificate Requested REQUIRED
  You may select more than one.
  Baptism Confirmation First Communion Marriage Please fill out this field.
- Date of Sacrament REQUIRED
  If you don't know the exact date please give us the year. Example 00/00/89
  Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters
  To inform you once certificate is ready.
  Please fill out this field. Please enter a phone number.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
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Sacramental Certified Copies: If you would like to get a copy of any of your sacraments that has taken place here at St. John Chrysostom, you may do so by calling (310) 677-2736 or by completing this form. Please provide us with your full name, address, phone number, parents name (mother’s maiden name), date of birth and date of the sacrament. There is a donation fee of $5.00 which must be paid first if the certificate is being mailed. Please allow three to five business days to search through our records. If you wish to personally pick up the copy, we will allow to hold it for three months. After the three months, we will shred the copy and you must make another request.