Immaculate Conception Church

Fairbanks, AK

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Request Sacrament Records

- Sacraments

Sacrament Records

If you would like to request your Sacrament Records (Annotated Baptismal Certificate), please fill out the form below. Put as much of the information as you have so that we can easily access your record.

Any questions or concerns, please contact the parish office
907-452-3533
[email protected]
This form is not accepting responses at this time.
- Full Name (First Middle Last) REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Place of birth (City, State) Please enter valid data.
- Date of Baptism Please enter a date.
- Place of Baptism (Church, City, State) Please enter valid data.
- Father's Name Please enter valid data.
- Mother's Name (Include Maiden name) Please enter valid data.
- Godfather's Name Please enter valid data.
- Godmother's Name Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Address where you would like the certificate to be mailed 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.
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