SACRAMENTAL RECORDS REQUEST FORM

Please use this form for requesting Sacramental Records.

Complete and submit, print and mail, hand deliver or fax to the following address:

Our Lady Star of the Sea Catholic Church

106 E. Dillingham St.

Saint Marys, GA   31558

(912) 882-4718 + (912) 882-5845 (FAX)

www.weareolss.org

Name on Record:
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Sacrament Record Requested:
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Date of Sacrament:
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If Marriage Certificate is requested, please note:
Name of Bride:
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 First and Maiden Name required
Groom's First and Last Name required:
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Date of Birth: //
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City of Birth:
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State of Birth:
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Father's Name:
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Mother's full Name (including Maiden Name:)
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Godparents/Sponsors/Witnesses:
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Name of Presiding Priest of Deacon:
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Requester's Relationship to Person named in record:
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Name of Requester:
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Date of Request: //
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Name and Address (for mailing Certificate):
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Requester's Phone Number: --
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Requester's E-mail Address:
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