Sacrament Record Request

In order to protect the confidentiality of these records, certificates are issued only to the individual named on the record, or to the parent or guardian of a minor child. No certificates are issued for genealogical purposes.

Church of Baptism(Required)

Full name at time of Baptism(Required)

First Middle Last

Father's Full Name

First Last

Mother's Full Name

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Baptized as a(n)…(Required)

Infant

Child

Adult

Date of Baptism (within two years)

MM slash DD slash YYYY

Have you been confirmed?(Required)

yes

Name of Church where you were confirmed:

Have you been married?(Required)

yes

Name of Church where you were married:

Name of person requesting certificate:(Required)

First Last

Daytime Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Photo ID(Required)

Accepted file types: jpg, png, pdf, Max. file size: 300 MB.

Due to the confidential nature of sacrament records, you must include a copy of your valid, signed photo ID to request this certificate from the parish.

I certify that I am requesting my own certificate, or that of my minor child:(Required)

Self

Minor Child

Reason for request:(Required)

Sacramental

Annulment

Civil Purpose

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

Contact

334 Elm St. Wyandotte, MI 48192 Phone: (734) 285-9840 parish@stvpp.org

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