• Records Request

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  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Type of Request REQUIRED (Select One) Baptism with Notations First Communion Confirmation Marriage Please fill out this field.
  • Is this for Marriage Preparation? REQUIRED (Select One) Yes No Please fill out this field.
  • Name on Record: REQUIRED Please fill out this field. Please enter valid data.
  • Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.
  • Father or Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  • Church where Sacrament was performed REQUIRED (Select One) St. Brendan St. Mary Sacred Heart Our Lady of Guadalupe Please fill out this field.
  • Preferred method of pickup REQUIRED (Select One) Email Mail In person pick-up Please fill out this field.

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