Sacramental Record Request

Sacramental Records Requests

Please use the form below to submit your request to the parish.

Sacramental Record Request Form

CONTACT INFORMATION

Name
Name
First Name
Last Name

SACRAMENTAL RECORD REQUEST DETAILS

Our records only apply to our parish. For a complete listing of churches in our diocese and to request records from them, please visit https://doy.org/archives/
Name of the person who received the sacrament
Name of the person who received the sacrament
First Name
Last Name
Type(s) of record being requested.
You may choose more than one. Please choose at least one.
Church where the sacrament was administered
This request is limited to this parish only. To request records from the Diocese of Youngstown, please visit www.doy.org/archives

ADDRESS TO MAIL CERTIFICATE

Mailing Address
Mailing Address
City
State/Province
Zip/Postal
Country

ACKNOWLEDGEMENT STATEMENT

I agree to the foregoing, and acknowledge that this box constitutes my electronic signature of this record. By checking the box above and submitting this form, I acknowledge I am over 18 years of age, and that I have truthfully and accurately completed this form including with respect to my identity and the purpose of my request. I acknowledge that the Diocese may, in its sole discretion, request further information from me in order to verify my identity and I agree to provide the Diocese with any further information requested prior to the release of any records. I consent to receive further communications pertaining to my request from the Diocese of Youngstown by email at the email address provided above. In addition, by checking the box below and as consideration for receiving any records in connection with my request, I agree, to the fullest extent allowed by law, to indemnify, defend and hold harmless the Bishop of the Roman Catholic Diocese of Youngstown and the Diocese of Youngstown, and their respective agents, representatives, and employees (the “Diocese”) from and against all claims including without limitation claims for misuse of information and/or invasion of privacy, damages, losses and expenses that in any way arise out of or relate to the records that I receive from the Diocese or the Diocese’s disclosure of such records to me.