Secure Intake

Request a sacramental record

Please complete the request below and upload any required supporting documents.

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Secure parish form

Request a sacramental record

Complete the form below. Church or school staff will review the information after submission.

Requestor's Name *

Email *

Daytime Phone Number *

Address *

Full Name at the time of Sacrament *

Date of Birth *

City and State of Birth *

Father's Name *

Mother's First & Maiden Name *

Record(s) being requested *

Baptism First Communion Confirmation Marriage

Choose each sacrament record you need.

Baptism Date *

Church Name *

Church City & State *

If Known, Name of Godparent(s)

First Communion Date *

Church Name *

Church City & State *

Confirmation Date *

Church Name *

Church City & State *

If Known, Name of Sponsor

Marriage Date *

Church Name *

Church City & State *

Name of Spouse at the Time of Sacrament *

Optional: If record will be picked up by another individual, provide name & daytime contact number here.

Photo ID should be presented at pick-up time.

Optional: If record is to be sent to a Parish or School, provide name and address of Parish/School and recipient details.

Purpose of Request *

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

Use your mouse, trackpad, or finger to sign in the box above.

Upload Identification document

A clear photo or scan of this document is required.

Take a photo using your phone

Continue filling out this form on your computer. Use your phone only to take the document photo, and it will transfer securely back into this form automatically.

1Open your phone camera
2Scan this QR code
3Take a photo of identification document
4Return to this form

Your information is secure

Your document is encrypted in storage and accessible to authorized parish staff.

Already on your phone?

Upload status

Waiting for secure upload link.

After you upload from your phone, this status will update automatically.

Why use your phone?

Your phone camera usually takes clearer photos. You can still finish and submit this form on your computer.

Upload a clear JPG, PNG, GIF, or WebP image. Authorized staff need an emailed review code to view your identification.

Your submission will be saved securely and shown to church or school staff after submission.