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