REQUEST CERTIFICATES

SACRAMENTAL RECORDS

If you were baptized, received First Eucharist, were confirmed or married at Holy Name of Mary, we are happy to supply a copy of your sacramental record. The following information is needed in order to provide you a copy of a sacramental record. Once you obtain this information, please complete the form below to request your certificate!

Certificate Type
Baptism - First Communion - Confirmation - Marriage

Name on Record
First Name, Last Name & Maiden Name

Year of Sacrament
Father's First Name, Last Name
Mother's First Name, Last Name & Maiden Name

Request a Sacramental Certificate

Certificate Type *

Baptism Certificate First Communion Certificate Confirmation Certificate Marriage Certificate

* Indicates required field

Name on Record *

First

Last

Date of Birth for Certificate Record (mm/dd/yyyy) *

Approximte Year Sacrament Was Received *

Father's Name *

First

Last

Mother's Name (Include Maiden Name) *

First

Last

Relationship to the Name on the Record *

Phone Number *

Email *

Reason for Requesting a Copy of the Certificate... *

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