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Sacramental Records Request

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  First and last name of the person completing this form REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number of the person completing this form REQUIRED Please fill out this field. Please enter valid data.
  
  Email address of the person completing this form REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth of the person who received the sacrament REQUIRED Please fill out this field. Please enter a date.
  
  First and last name of the person who received the sacrament (include previous name if applicable) REQUIRED Please fill out this field. Please enter valid data.
  
  For which Sacrament(s) are you requesting records? REQUIRED Baptism Eucharist Confirmation Marriage Please fill out this field.
  
  How would you like to receive your Sacramental record? REQUIRED Postal Mail Pick-Up Send to a Church Please fill out this field.
  
  If sending to a Church, please specify in the field below. (Include church name, contact name, and address)
  
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