Sacramental Record Request - St Therese

Need a copy of a Baptism, First Communion, Confirmation, or marriage record from St. Therese? Complete the form below and the parish office will send the record to the church you name.

Name(Required)

Prefix First Last Suffix

Email(Required)

Name of Church to which record will be sent(Required)

Address of Church to which record will be sent(Required)

Street Address Address Line 2 City State ZIP Code

Name of person whose records are being requested(Required)

Date of Birth(Required)

Parents Names(Required)

Sacrament(Required)

Baptism

Reconciliation

First Holy Communion

Confirmation

Wedding/Marriage Certificate

Year of Requested Sacrament(Required)

Signature(Required)