Sacramental Records Request
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  Person Requesting Records
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  I am requesting the records of REQUIRED Please fill out this field.
  
  I need the records of:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  In which church did the sacrament occur? REQUIRED Please fill out this field.
  
  I need the record of REQUIRED Baptism Confirmation First Holy Communion Marriage Funeral Please fill out this field.
  
  Year of Sacrament (or approximate) REQUIRED Please fill out this field. Please enter valid data.
  
  Where should the records be sent?
  
  Name of Individual or Church REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Other Information
  
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Pastorate of the Holy Trinity

A Pastorate of the Diocese of Lafayette-in-Indiana