Sacramental Records Request Form

SACRAMENTAL RECORDS REQUEST FORM
Please use this form for requesting Sacramental Records.
Complete and submit online.
Nativity Catholic Church
705 E. Brandon Blvd.
Brandon, Florida 33511-5443
(813) 681-4608 + (813) 653-9482 (FAX)
www.nativitycatholicchurch.org

Name on Record
Name
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Sacrament Record Request
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Select all sacraments you are requesting a record for.
Baptism Date  
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First Communion Date  
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Confirmation Date  
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Marriage Date  
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Maiden Name of Bride
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Please include MAIDEN name of bride
Groom's Name
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More Information
Please complete as much as possible to help expedite your request. Thank you!
Your Birth Date //
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City and State of Birth
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Requestor's Father's Name
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Requestor's Mother's Name
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Names of Godparents, Sponsors, Witnesses
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Name of Presiding Priest
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Requestor's Name (if someone other than Record Requested)
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Name and Address for Mailing Certificate
Mail Certificate to:
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Please indicate name of person to receive sacramental records.
Address to Mail Records
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Phone # of Requestor -- ext
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E-mail of Requestor
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