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About
Bulletins
Contact Us
Calendar
Frequently Asked Questions
History
Mass Times
Staff
Sacraments
Baptism
Reconciliation
Eucharist (Holy Communion)
Confirmation
Marriage
Holy Orders / Vocations
Anointing of the Sick
Adoration
Heal
About the Recent Scandals
Need Prayer?
Church Annulments
Funeral Planning
GriefShare - Bereavement Ministry
Freedom From Pornography
Grow
Learn
Synod on Synodality
Deanery Events
Internet Protection
How to Pray the Rosary
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Contact Us
Deacon Frank DeSanto
Director of Family Life Ministries
Office Direct: (813) 536-0989
DeaconFrank
LadyRosary.org
The maximum number of form submissions has been reached. This form is currently not available.
Requested Date of Baptism
REQUIRED
(Select One)
June 25, 2022
July 30, 2022
August 27, 2022
September 24, 2022
October 29, 2022
November 26, 2022
December 24, 2022
January 28, 2023
February 25, 2023
March 25, 2023
April 29, 2023
May 27, 2023
Please fill out this field.
Requested Time of Baptism
REQUIRED
(Select One)
10:30 AM (English)
1:00 PM (Spanish)
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.
Best Phone Number
REQUIRED
Maximum 20 characters
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
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:__________
Total:
Submit
Proceed to Payment
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