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Baptism Pre-registration

- Sacraments / Worship
Contact Us
- Deacon Frank DeSanto
  
  Director of Family Life Ministries
  
  (813) 949-4565
  DeaconFrankLadyRosary.org
- Kathy DeSanto
  
  Director of Family Life Ministries
  
  (813) 949-4565
  KathyDladyrosary.org

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- Requested Date of Baptism REQUIRED Please fill out this field.
- What parish/church are you registered as a member? REQUIRED Please fill out this field. Please enter valid data.
- Date of Interview Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Child to be baptized information:
  
  Legal name exactly as it is shown on Birth Ceritficate
  
  First Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter valid data.
  
  City and State born REQUIRED Please fill out this field. Please enter valid data.
  
  Is this child adopted? REQUIRED Yes No Please fill out this field.
  
  Has this child been privately or previously baptized? REQUIRED Yes No Please fill out this field.
  
  If yes, please explain
- Parents of child to be baptized
  
  Parent information needs to be exactly as it was shown on the Child's Birth Certificate
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Middle Name Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Middle Name Please enter valid data.
  
  Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Date of Marriage Please enter valid data.
  
  Officiating Minister Please enter valid data.
  
  Name of Church you were married Please enter valid data.
  
  City of Marriage Please enter valid data.
  
  Current Address REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Cell/Work Phone REQUIRED Please fill out this field. Please enter valid data.
- Godparent Information
  
  GODPARENTS must be practicing Catholics. By way of exception, in special circumstances, with the approval of the pastor, a baptized Protestant or Orthodox Christian may be substituted for one Godparent. The baptism register will record the non-Catholic as a Christian Witness.
  
  Godmother Please enter valid data.
  
  Godmother's Religion Please enter valid data.
  
  Godfather Please enter valid data.
  
  Godfather's Religion Please enter valid data.
  
  Proxy Please enter valid data.
  
  Proxy's Religion Please enter valid data.
  
  (NOTE: A proxy is only needed if one of the godparents cannot be present at the baptism ceremony.)
- A NOTE TO PARENTS:
  
  As a Sacrament of the Church, no charge is made for the celebration of Baptism. However, it is customary to give a donation of $50 which helps to support the life and the work of the Parish.
  This donation covers the cost of book, baptism garment, and baptism candle. This donation can be paid at the session.
  
  NO FAMILY WILL BE DENIED THE SACRAMENT OF BAPTISM FOR FINANCIAL REASONS.
- BAPTISMAL GIFT OFFERING: Cash Check Other
- Check # / Other Please enter valid data.
- (THIS SECTION BELOW IS TO BE COMPLETED BY STAFF)
  
  DATE OF CLASS ATTENDED: _________
  ACTUAL DATE OF BAPTISM:__________
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