Request for Sacramental Records

Use this form to request copies of your sacramental records.
(Baptism Certificate, Marriage Certificate, etc.)
Please ensure that all information is accurate (spelling, dates, etc.).

Person Making Request

Name

First Name*

Last Name*

Phone

Required* --

Would you like to

	Pick it up
	Have us mail it

Please provide address

Street 1

Street 2

City

State

Zip

Sponsor Certificate

You must be a REGISTERED parishioner, otherwise please make an appointment with one of the priests.

Certificate for:

First Name

Last Name

Sacraments (please check)

Have you received the following sacraments?

	Baptism
	Eucharist
	Confirmation

Baptism Certificate

Certificate for

First Name

Last Name

Date of Birth

Date of Baptism

if available //

If for a child

Name of parents

Confirmation Certificate

Certificate for

First Name

Last Name

Date of Birth

Date of Confirmation

if available //

If for a child

Name of parents

Communion Certificate

Certificate for

First Name

Last Name

Date of Birth

Date of Communion

if available //

If for a child

Name of parents

Marriage Certificate

Groom's Name

First Name

Last Name

Bride's MAIDEN Name

First Name

Last Name

Date of Marriage

Request for Sacramental Records

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