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Request a Baptismal Certificate

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  - Request a Baptismal Certificate

Please complete and submit the form below to request a BAPTISMAL CERTIFICATE. Please email Delores Kocian at dkocian@hfwharton.org for any other certificate requests or call her at (979) 532-3593.

Please note that a donation of $5.00/certificate is requested to help defray the cost of paper and postage. Mail your $5.00 donation to Holy Family Catholic Church, ATTN: Sacramental Certificate Request, 2011 Briar Lane, Wharton, Texas 77488-4470.

Thank you and may God bless you!
Baptismal Certificate Request Form
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- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED
  Include suffixes like "Jr." or "Sr." if applicable.
  Please fill out this field. Please enter valid data.
- If Female, Maiden Name Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- City/State of Birth REQUIRED Please fill out this field. Please enter valid data.
- Church of Baptism REQUIRED
  In which church were you baptized?
  Please fill out this field.
- Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Full Name REQUIRED
  Be sure to include mother's maiden name.
  Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED
  This is the mailing address to which you want the certificate mailed.
  Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
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Holy Family Catholic Church
Wharton, Texas

and St. Joseph Catholic Mission, Boling, Texas

Request a Baptismal Certificate

Baptismal Certificate Request Form