Sacramental Record(s) Request

Sacramental Record(s) Request

St. John Vianney Catholic Church
In order to protect the privacy of the individual involved, certificates are only issued to the person whose records is requested, or a person who provides proof of parental authority, guardianship, power of attorney, executor/personal representative, or other legal status on behalf of the person whose record is requested. NO official certificates are issued for genealogical purposes. When picking up document requested please ensure to bring a photo ID.
Indicate sacramental record(s) requested:*

BaptismFirst CommunionConfirmationMarriageOther
If requesting marriage certificate provide name of spouse.
Name at the time of sacrament*

First NameLast Name
Approximate date of sacrament*
Date of birth*

MonthDayYear
Date
Name of Father*

First NameLast Name
First and Maiden name of Mother*

First NameMaiden Name of Mother
Name of Spouse if known

First NameLast Name
Name of Minister of the sacrament (if known)
Name of requestor*

First NameLast Name
Purpose of request*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email (if any)
example@example.com
Upload birth certificate*

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Upload Identification*

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I hereby authorize the release of the records above and confirm that I have the legal authority to authorize such release.

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