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Sacramental Information Request Form

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Which parish would like to request the sacramental information from? REQUIRED St. Jude Thaddeus (Burkburnett) Christ the King (Iowa Park) - including the James V. Allred Unit St. Paul (Electra) Please fill out this field.
  
  Personal 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.
  
  Address 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Requesting sacramental information for: Baptism Profession of Faith First Reconciliation and Communion Confirmation Matrimony
  
  Estimated Date of the Sacrament(s) Received REQUIRED
  Please provide an estimated date or timeframe when the sacrament was received.
  Please fill out this field. Please enter valid data.
  
  Godparent(s) / Sponsor(s) Information:
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Mail-To Information
  
  Address REQUIRED
  Please provide the proper name of the person or parish receiving the sacramental information.
  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.
  
  Submit
  
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Christ the King, St. Jude Thaddeus,
& St. Paul Catholic Churches

600 DAVEY DRIVE, BURKBURNETT, TEXAS 76354 - (940) 569-1222
stjudeburkburnett@gmail.com

Sacramental Information Request Form