Baptismal Certificate Requests

If you need to request a Baptismal Certificate for yourself or your child who was baptized at St. Anastasia, please note that in order to protect the privacy of the individuals involved, certificates are only issued to the parent of a minor child, or the person to whom the record is referring.

No certificates are issued for genealogical purposes.

Use our convenient Online Form below, or You may pick up or print out a Baptism Certificate Request which you may fill out and submit to:
St. Anastasia Catholic Church
Attn:  Sacrament Records
4571 John R Road
Troy, MI 48085

Baptismal Certificate Request

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This field is for validation purposes and should be left unchanged.

Full Name at the time of Baptism(Required)

First Middle Last

(Rec’d _________ Mailed ___________)

Date of Birth

MM slash DD slash YYYY

Date

City / State of Birth

City State / Province / Region

Father's Full Name(Required)

First Middle Last

Mother's Full Name with Maiden Name(Required)

First Middle Last Maiden

Approximate Date of Baptism

MM slash DD slash YYYY

Name of person requesting certificate(Required)

First Middle Last

Must be parent or guardian of minor – or your own name if 18+

Your Address

Street Address Address Line 2 City ZIP Code

How Can We Reach You?

Email Address(Required)

Phone Number(Required)

In order to protect the privacy of the individuals involved, certificates are only issued to the parent of a minor child, or the person to whom the certificate is referring. NO certificates are issued for genealogical purposes (or after death). I have read the above information, and certify that this is my own or my minor child’s certificate that I am requesting.

Signature(Required)

Would you like a copy submitted to St. Anastasia's Religious Education Office?

Yes

No

If requesting to be sent to another Parish, type in the name of the Parish:

To the attention of:

Address of Parish where you would like this certificate mailed:

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