First Holy Communion Certificate Replacement Form

This form is for a replacement certificate only. You cannot request a communion certificate unless the person you are requesting for has already received Holy Communion. If you are looking to receive Holy Communion or have your child receive Holy Communion, please email daniellec@johnthebaptist.org

Today's Date*

Email of Person Requesting*

Phone of Person Requesting*

Relationship of Person to Person who received Holy Communion:*

Full Name of Person who receive Holy Communion as it appears on the birth certificate

First*

Middle*

Last*

Date or Approximate Month and Year of Reception of Holy Communion:*

Additional Requirements: - Picture of the photo ID of the parent or adult requester. The same individual and photo ID will need to be presented at the time of pick-up.

Upload Required Photos Here:*

Drop files here or

Max. file size: 128 MB, Max. files: 2.

Address to mail First Holy Communion certificate to if you are unable to pick it up in person from St. John's *Please note that we will only send it to either your local parish that needs it, or to an address that matches that on the photo ID uploaded.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last things to note:

Certificates for adults will only be released to the adult on the certificate or the church requesting the certificate.

Please be advised, fraudulent documents will be reported to the appropriate authorities.

(An individual must have received First Holy Communion at St. John’s for a certificate to be prepared. We do not prepare First Holy Communion certificates for other parishes)

Holy Communion Replacement Certificate Request Fee

Price:

There is a $10 fee for every Holy Communion Replacement Certificate Request.

Credit Card

Card Details

Cardholder Name

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