Baptismal Certificate Requests
Please use this form to request a newly issued Baptismal Certificate. Provide the following information by the BAPTIZED PERSON to assist us in finding the requested information. Please note, an individual must have been baptized at St. Agnes Cathedral for a certificate to be prepared. We do not prepare baptism certificates for other parishes. Baptismal Certificates are only provided by the Church of Baptism, even if you received other sacraments in other parishes.
Full Name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Baptism
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate accepted
Mother's Full Name
First Name
Maiden Name
Last Name
Father's Full Name
First Name
Last Name
Contact Information
Requester Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Delivery Preference
Mail
Rectory Pickup
Submit
Should be Empty: