Record Request Form

Please do not use this form for anything other than record requests! This form is not to be used for solicitation purposes.

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This field is for validation purposes and should be left unchanged.

Type of Record(Required)

Baptism ONLY – Are additional Sacraments to be noted on the baptismal record?

Yes

If "Other," please explain

Name(Required)

First Last

Date of Birth(Required)

Approximate Date of Sacrament Received, or of Death(Required)

Father's Full Name(Required)

Mother's Full (Maiden) Name(Required)

Name(Required)

First Last

Relationship to the Person Who Received the Sacrament(Required)

Phone(Required)

Country Phone Number

Email(Required)

Methods to Send(Required)

Pick Up (Cody Center)

Mail

Destination's Contact Name(Required)

Destination's Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

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