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Sacramental record requests

- Request information
  regarding the Sacraments
  of Baptism, Confirmation, First Eucharist or Marriage.
  
  Please include as much information as possible to help facilitate location of the sacramental record.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Person requesting information:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the person you are requesting information on (i.e., self, mother, father, pastor, etc.):
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Send information to:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street or P.O. Box REQUIRED 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.
  
  I am requesting Sacramental information for:
  
  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.
  
  Sacrament of (please check all that apply) Baptism Confirmation First Eucharist Marriage
  
  Approximate date(s) Sacraments were received
  
  Father's first & last name Please enter valid data.
  
  Mother's first & last name (please use mother's maiden last name) Please enter valid data.
  
  Submit
  
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- Need help?
  
  Heather Pariera Kimmerling
  
  Dir. of Religious Education
  
  907.488.2595
  stnicksrecbna.org

St. Nicholas Catholic Church

707 Saint Nicholas Drive
North Pole, Alaska 99705

Sacramental record requests

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