Sacramental Records Form

Sacramental Records Form

You may submit records for up to 10 persons.

Contact Information
Your Full Name*

First NameMiddle NameLast NameSuffix
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
Your Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
For what are you submitting this form?*

RCIA/RCIA AdaptedBaptism Preparation (0-6yrs)Confirmation PreparationPenance & Eucharist PreparationMatrimony Preparation
What is the role of the person submitting the records?*

ParentChildSponsor/Godparent

Baptism Record 1
Full Name of the Person Baptized*

First NameMiddle NameLast NameSuffix
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Celebrant of Baptism Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Sponsor 1 (Godparent) Full Name*

First NameMiddle NameLast NameSuffix
Sponsor 2 (Godparent) Full Name

First NameMiddle NameLast NameSuffix
Date of Confirmation

MonthDayYear
General Remarks/Record of Marriage, Religious Profession,Sub-Diaconate
Has this person received Confirmation?*

YesNo
Has this person received First Eucharist?*

YesNo
Would you like to submit another person's Sacramental Records?*

YesNo

Confirmation Record 1
Full Name of the Person Confirmed*

First NameMiddle NameLast NameSuffix
Confirmation Saint Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Confirmation*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Confirmation*

MonthDayYear
Celebrant of Confirmation Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Confirmation Sponsor Full Name*

First NameMiddle NameLast NameSuffix

First Eucharist Record 1
Full Name of the Person who received First Eucharist (Communion)*

First NameMiddle NameLast NameSuffix
Place of First Eucharist*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of First Eucharist*

MonthDayYear
Celebrant of First Eucharist Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Baptism Record 2
Full Name of the Person Baptized*

First NameMiddle NameLast NameSuffix
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Celebrant of Baptism Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Sponsor 1 (Godparent) Full Name*

First NameMiddle NameLast NameSuffix
Sponsor 2 (Godparent) Full Name

First NameMiddle NameLast NameSuffix
Date of Confirmation

MonthDayYear
General Remarks/Record of Marriage, Religious Profession,Sub-Diaconate
Has this person received Confirmation?*

YesNo
Has this person received First Eucharist?*

YesNo
Would you like to submit another person's Sacramental Records?*

YesNo

Confirmation Record 2
Full Name of the Person Confirmed*

First NameMiddle NameLast NameSuffix
Confirmation Saint Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Confirmation*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Confirmation*

MonthDayYear
Celebrant of Confirmation Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Confirmation Sponsor Full Name*

First NameMiddle NameLast NameSuffix

First Eucharist Record 2
Full Name of the Person who received First Eucharist (Communion)*

First NameMiddle NameLast NameSuffix
Place of First Eucharist*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of First Eucharist*

MonthDayYear
Celebrant of First Eucharist Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Baptism Record 3
Full Name of the Person Baptized*

First NameMiddle NameLast NameSuffix
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Celebrant of Baptism Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Sponsor 1 (Godparent) Full Name*

First NameMiddle NameLast NameSuffix
Sponsor 2 (Godparent) Full Name

First NameMiddle NameLast NameSuffix
Date of Confirmation

MonthDayYear
General Remarks/Record of Marriage, Religious Profession,Sub-Diaconate
Has this person received Confirmation?*

YesNo
Has this person received First Eucharist?*

YesNo
Would you like to submit another person's Sacramental Records?*

YesNo

Confirmation Record 3
Full Name of the Person Confirmed*

First NameMiddle NameLast NameSuffix
Confirmation Saint Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Confirmation*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Confirmation*

MonthDayYear
Celebrant of Confirmation Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Confirmation Sponsor Full Name*

First NameMiddle NameLast NameSuffix

First Eucharist Record 3
Full Name of the Person who received First Eucharist (Communion)*

First NameMiddle NameLast NameSuffix
Place of First Eucharist*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of First Eucharist*

MonthDayYear
Celebrant of First Eucharist Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Baptism Record 4
Full Name of the Person Baptized*

First NameMiddle NameLast NameSuffix
Place of Birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Celebrant of Baptism Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Sponsor 1 (Godparent) Full Name*

First NameMiddle NameLast NameSuffix
Sponsor 2 (Godparent) Full Name

First NameMiddle NameLast NameSuffix
Date of Confirmation

MonthDayYear
General Remarks/Record of Marriage, Religious Profession,Sub-Diaconate
Has this person received Confirmation?*

YesNo
Has this person received First Eucharist?*

YesNo
Would you like to submit another person's Sacramental Records?*

YesNo

Confirmation Record 4
Full Name of the Person Confirmed*

First NameMiddle NameLast NameSuffix
Confirmation Saint Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Confirmation*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Confirmation*

MonthDayYear
Celebrant of Confirmation Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Confirmation Sponsor Full Name*

First NameMiddle NameLast NameSuffix

First Eucharist Record 4
Full Name of the Person who received First Eucharist (Communion)*

First NameMiddle NameLast NameSuffix
Place of First Eucharist*

Parish Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of First Eucharist*

MonthDayYear
Celebrant of First Eucharist Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Place of Baptism*

Parish/Church Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Baptism*

MonthDayYear
Father's Full Name*

First NameMiddle NameLast NameSuffix
Mother's Full Name*

First NameMiddle NameMaiden NameMarried Name
Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code