Sacramental Record Request
Please allow approximately 2 weeks for the delivery of your requested certificates. If you have a more urgent need, please call the parish office (620-231-2135) as soon as possible.
Requested Certificate
*
Baptism (with notations, if applicable)
First Holy Communion
Confirmation
Marriage
Funeral
Name (as listed on the certificate or Sacramental record)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Date Sacrament was received
*
This can be an approximate date. At a minimum, we need to know the year.
For whom are you requesting this record?
Myself
My child
My parent
Other
Requestor's Name
*
First Name
Last Name
Address for certificate to be mailed
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Additional Information regarding this request:
Optional
Submit Form
Should be Empty: