Tuesday, April 16, 2019 at 8:00 AM
Holy Thursday Schedule (April 18): 7:00 p.m. Mass of the Lord's Supper, Eucharistic Adoration to follow until Night Prayer at 10:00 p.m. (all at Holy Family Parish, Amesbury)

Request a Baptismal Record

Please use this form to request a baptismal record either for marriage preparation or personal use.

Purpose of Baptismal Record

	Please indicate the purpose of this request for a baptismal record.
List (Dropdown)	Required*

Parish of Baptism

	Please indicate the parish of baptism for this request.
List (Dropdown)	Required*

Whose baptismal record are you requesting?

Please provide as much information as possible, but at least name and date of birth, for the person whose baptismal record you are requesting.

Name

First Name*

Middle Name

Last Name*

Date of Birth

Required* //

Father's Name

First Name*

Last Name*

Mother's Name (maiden)

First Name*

Last Name*

Date of Baptism (if known)

To whom should we send this baptismal record?

Please let us know to whom we should send this baptismal record? Please note: We must send baptismal records for marriage preparation directly to the priest, deacon, or pastoral associate who is assisting you.

Name

Title

First Name*

Last Name*

Address

Street 1*

Street 2

City*

State*

Zip*

Who is making this request?

In case we have questions about or need additional information for this request, please provide the personal information of the person making this request.

Name

Title

First Name*

Last Name*

Phone

Required* -- ext

E-mail

Additional information about this request

	Please provide any additional information which may be helpful to us in fulfilling this request.
Additional information about this request

© 2013-2019 Living Water Catholic
OFFICE: 11 Sparhawk St, Amesbury MA 01913
HOLY FAMILY PARISH: 978-388-0330 | STAR OF THE SEA PARISH: 978-465-3334

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