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The Sacraments of Baptism, Confirmation, Eucharist, Penance, Anointing of the Sick

Please complete this form for all Sacraments other than Marriage

Your Name:    City   State

Your Age:    Contact Phone #   Cell Phone #

Sacrament Requested:

Person to Receive the Sacrament:

Requested Date:

Email Address: (required)                   

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