Authorization for Release of Information from Sacramental Records
All of your sacramental records are kept at the parish where you received the sacrament of baptism.
Sign in to Google to save your progress. Learn more
Email *
REQUESTOR INFORMATION
NOTE: The person authorizing release must be the person on record, the parent of a minor child, or the spouse or adult child if the person is deceased.  Anyone else must show proof of power-of-attorney.
FULL NAME OF THE REQUESTOR *
FULL ADDRESS TO WHERE THE SACRAMENTAL RECORD WILL BE MAILED *
Mary Smith, 1234 Smith Rd, Anywhere, Rhode Island, 12345
REQUESTOR'S PHONE NUMBER *
Which sacramental record do you need? *
Required
For what purpose are you requesting a record of your sacraments:  *
Your Full Name at the Time of Sacrament *
Your Date of Birth: *
MM
/
DD
/
YYYY
Approximate Date of Sacrament
Please give as much information as you remember
NAME[S] OF PARENTS
MOTHER'S FULL NAME [INCLUDE MAIDEN] *
FATHER'S FULL NAME *
Godparents / Sponsors / Witnesses Names
AFTER clicking the SUBMIT form button below, your answers will be emailed to you.  Please forward the email, along with a copy of your photo id attached to bfavot@sthelenglendale.org .  Please allow 3-7 days for completion AFTER we have received a copy of your photo id. 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy