sacramental
records request

Your name *

First Name

Last Name

I am requesting the following sacramental record(s): *

Baptism

First Communion

Confirmation

Marriage

This record is for *

myself.

a family member. (List name of family member below.)

Name of family member (if applicable)

First Name

Last Name

Contact telephone #

(###)

###

####

Mailing address

In order to receive records, you must send a self-addressed stamped envelope to St. Francis de Sales, 135 East 96th Street, NY NY 10128.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Father's name

First Name

Last Name

Mother's maiden name

First Name

Last Name

Date of Baptism (if known)

MM

DD

YYYY