Holy Name of Jesus - Saint Gregory the Great Parish

Sacramental Certificate Request Form



Holy Name of Jesus-Saint Gregory the Great Parish
207 West 96th. Street
New York, NY 10025

212-749-0276 ext 110
[email protected]

To request a sacramental certificate, please complete this form. Requests must be made in writing, unless the request is being made by a diocesan or parish official.

In order to protect the confidentiality of these records, we can only release sacramental certificates to the individual named on the certificate, the next of kin if deceased or to their parent or legal guardian if the named person is under the age of 18.

Requester's Contact Information:

I certify that I have read the above information and that I am requesting my own certificate, that of my minor child or I am the next of kin.


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