Baptismal Record Request Form

Name

Please insert your full name including maiden name

I wish to obtain a copy of the record of My or My Child’s baptism, for:

Upcoming Marriage

School Entry

My Child's Baptism

Sacramental Program

Other

Please explain

Residential address

Email

Date of Birth

Date of Baptism

(or approx. year)

Place of Baptism

(if known)

Father's Name

Mother's Name

Do you require a hard copy posted to you?

Yes

No

Signature

Please sign above.