Sacrament Certificate Request

First Name *

Last Name *

Type of Certificate *

Year of Sacrament *Please write the year

Date of Birth *Select the date

Father's Full Name *Enter full name

Mother's Full Maiden Name *Enter her full name

Email of the person requesting *

Phone number of the person requesting *

Additional Comments:

I AgreeI hereby authorize Christ Our Light Catholic Church in Navasota, Texas to release a copy of the aforementioned sacramental record requested. I agree to indemnify and hold harmless the Catholic Archives of Christ Our Light Catholic Church of the Archdiocese of Galveston-Houston, the Roman Catholic Church, it's Diocese, Archbishop, Bishops and their successors in office, the aforesaid parish and all other persons with them from any liability for releasing this information pursuant to my request. NOTE: The person authorizing release MUST be the person named in the certificate, or the parent of the person; the spouse or adult child if the named person is deceased.

I UnderstandPick-Up Schedule: First ensure that you have received an email/call from our parish staff, then you may stop by the Parish Offices; Monday - Friday between 9:30am - 4:30pm. Address: 510 Manley Street Navasota, Texas 77868

I UnderstandWe kindly request that you allow two weeks for processing.

Sacrament Certificate Request

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