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REQUEST FOR SACRAMENTAL RECORDSDate: _____________________
Record Requested:
______Baptism ______ First Holy Communion______ Confirmation______ Marriage
Name as stated on certificate: ________________________________________
Birthdate: ___________________________ Date of sacrament: ________________________________
Father’s full name: _________________________________________________
Mother’s full name/maiden: _________________________________________
Any other pertinent information: __________________________________________________________
_____________________________________________________________________________________
Name of person requesting certificate: ____________________________________________________
Relation: (self, parent, legal guardian, parish office) __________________________________________
Phone Number: _________________________________________________________________
Address: ______________________________________________________________________
Fax to: ______________________________ at _______________________________________
Fax # __________________________________
Note: Allow one week after receipt of request in the parish office for processing.
Office Use Only:Date Request Received: _______________________Date Processed: _____________________________Date Faxed: ______________________Date picked-up: ____________________
2541 Earl Rudder Freeway South College Station, TX 77845 979-693-6994 www.stabcs.org