New?
About
Calendar
Bulletin
Campus
History & Mission
Photos
Finances
Leadership
Safe Environment
Staff
Papal Honors
Stewardship, Our Way of Life
Just Pedal - Our Motto
FAQs
Contact
Sacraments / Worship
Baptism
Baptism Pre-registration
Reconciliation (Confession)
Eucharist (Holy Communion)
Confirmation
Matrimony
Holy Orders / Vocations
Elijah Cup
Anointing of the Sick
Adoration
Mass Times
Sign Up to Attend Sunday Mass
Heal
About the Recent Scandals
Need Prayer?
Monthly Healing Mass
Support Groups
Divorce
Church Annulments
Funeral Planning
GriefShare - Bereavement Ministry
Freedom From Pornography
Grow
Learn
Domestic Church Challenge
Alpha
Register for Alpha
Alpha Team
Ask the Deacons
Deanery Events
Internet Protection
Making Your Home a Safe Haven
Freedom from Pornography
How to pray the Rosary
Holy Spirit Novena
Lent
Lenten Children's Mission
Adult Crew Members
Teen Crew Members
FORMED
Faith & Reason
God & Science
God & Sex (Part 1)
God & Sex (Part 2)
God & Suffering
Become Catholic
RCIA for Children/Teens
Register Online for RCIA
Join
Register as a Parish Member
Register your child/teen
CGS Registration
Level 1 Sunday
Level 1 Monday
Level 2 Monday
Level 1 Tuesday
Level 1 Wednesday
Level 2 Wednesday
Level 1 Thursday
Level 2 Thursday
Men
Knights of Columbus Council 8104
Rediscover Jesus
Suncoast Catholic Ministries
Women
Columbiettes
Council of Catholic Women
Living Well Women's Bible Study
Self Study
Youth
OLOR Sports
Nursery
Children's Liturgy
Catholic Education
Bishop McLaughlin Catholic High School
Homeschool
Mother Teresa of Calcutta Catholic School
Morning Star School
Mary's House Early Childhood Center
Register at Mary's House
Tuition
Classes
Service & Faith
Children's Faith Formation (K-5th)
Register
Sacrament Preparation
Faith Formation
Volunteer
Edge (6th-8th)
Register
EDGE calendar
EDGE Events
LifeTeen (9th-12th)
Register
RSVP
Core Team Page
Teen Confirmation
LifeTeen Music
LifeTeen Service
Mark 8
LifeTeen Events
LifeTeen calendar
RCIA for Children/Teens
Scouts
Squires
Summer Camp
Vacation Bible School (VBS)
vbsvolunteers
Young Adults
Seniors
Singles
Catholic Singles
Catholic Divorce Survival Guide
Married Couples
Art of Marriage
AOM Childcare
Art of Parenting
AOP Childcare
Date Nights
Date Night Childcare
Marriage Encounter
Natural Family Planning
Parent Life
Retrouvaille
Prayer Groups
Studies
Bible
Financial Peace University
Spanish Groups
Renovacion
Retreats
Committees
Resources
Links
Videos
Business Directory
Serve
Assist with the Liturgy
Sacristan Ministry
Join our Music Team
Cantors
Get involved in Ministry
Healing Prayer Ministry
Serve in Community Outreach
Big Brothers/Big SIsters
Catholic Charities
Gulfside Hospice
Guiding Star Tampa
Lifeline Screening
Mercy Calling
Respect Life
Defend Life
Protect the Unborn
Social Justice
Responsible Science & Medicine
Build a Culture of Life
Help with Faith Formation
Volunteer for an activity
Volunteer Appreciation
Give
Offertory Online Giving
Building and Maintenance Fund
Holy Day Online Giving
Baptism
Wedding Fees
Children & Teens
OLORCHA
Marys House
LifeTeen Retreat
EDGE Retreat Payment
LifeTeen Camp
CRHP
Stewardship
Support Seminarians
Annual Pastoral Appeal
Our Financial Statements
|||
New?
Become Catholic
Facebook
Email
Phone
Flocknote
YouTube
Search
Search
New?
About
Calendar
Bulletin
Campus
History & Mission
Photos
Finances
Leadership
Safe Environment
Staff
Stewardship, Our Way of Life
Just Pedal - Our Motto
FAQs
Contact
Sacraments / Worship
Baptism
Reconciliation (Confession)
Eucharist (Holy Communion)
Confirmation
Matrimony
Holy Orders / Vocations
Anointing of the Sick
Adoration
Mass Times
Heal
About the Recent Scandals
Need Prayer?
Monthly Healing Mass
Support Groups
Divorce
Church Annulments
Funeral Planning
GriefShare - Bereavement Ministry
Freedom From Pornography
Grow
Learn
Domestic Church Challenge
Alpha
Ask the Deacons
Deanery Events
Internet Protection
How to pray the Rosary
Holy Spirit Novena
Lent
FORMED
Faith & Reason
Become Catholic
Join
Register as a Parish Member
Register your child/teen
Men
Women
Youth
Young Adults
Seniors
Singles
Married Couples
Prayer Groups
Studies
Spanish Groups
Retreats
Committees
Resources
Links
Videos
Business Directory
Serve
Assist with the Liturgy
Join our Music Team
Get involved in Ministry
Serve in Community Outreach
Help with Faith Formation
Volunteer for an activity
Volunteer Appreciation
Give
Offertory Online Giving
Building and Maintenance Fund
Holy Day Online Giving
Baptism
Wedding Fees
Children & Teens
CRHP
Stewardship
Support Seminarians
Annual Pastoral Appeal
Our Financial Statements
Register Online for RCIA for Teens
Grow
Learn
Domestic Church Challenge
Alpha
Ask the Deacons
Deanery Events
Internet Protection
How to pray the Rosary
Holy Spirit Novena
Lent
FORMED
Faith & Reason
Become Catholic
RCIA for Children/Teens
Register Online for RCIA
Join
Register as a Parish Member
Register your child/teen
Men
Women
Youth
Young Adults
Seniors
Singles
Married Couples
Prayer Groups
Studies
Spanish Groups
Retreats
Committees
Resources
Links
Videos
Business Directory
The maximum number of form submissions has been reached. This form is currently not available.
Family Information
Family Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Best Email
REQUIRED
Please fill out this field.
Please enter an email address.
Church Member Information
REQUIRED
(Select One)
We are registered members of OLOR
We are interested in registering at OLOR
We are registered at another church
Please fill out this field.
If member at another church, please provide the church's name:
Please enter valid data.
Father's Name
REQUIRED
Please fill out this field.
Please enter valid data.
Father's Email
REQUIRED
Please fill out this field.
Please enter an email address.
Father's Mobile Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Father's Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Maiden Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Email
REQUIRED
Please fill out this field.
Please enter an email address.
Mother's Mobile Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Mother's Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Home Phone Number
Please enter a phone number.
Home Street Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Parent's Marital Status
REQUIRED
(Select One)
Married
Separated
Divorced
Remarried
Single
Widow
Please fill out this field.
Child lives with:
REQUIRED
(Select One)
Both Parents
Father
Mother
Guardian
Please fill out this field.
If child lives with a guardian, please provide guardian's name:
Please enter valid data.
Number of teens registering in 6th-12th grade
REQUIRED
Please fill out this field.
Teen 1
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 2
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 3
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 4
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 5
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 6
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 7
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
Teen 8
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Date of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Place of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
School Attending
REQUIRED
Please fill out this field.
Please enter valid data.
Grade
REQUIRED
(Select One)
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please fill out this field.
Choose one session from below:
REQUIRED
(Select One)
This will be my first year of RCIA for teens
This is my second or more year of RCIA for teens
Please fill out this field.
If this is your 2nd or more year, what were you involved in last year?
Please enter valid data.
Which Sacraments has this teen received? (check all that apply)
REQUIRED
None
Baptism
First Holy Communion
Confirmation
Please fill out this field.
If baptized, name of Church/Location
Please enter valid data.
If received First Holy Communion, name of Church/Location
Please enter valid data.
If received Confirmation, name of Church/Location
Please enter valid data.
Please provide a copy or email a photo of your teen's completed sacraments to Deacon Frank or Kathy DeSanto.
Medical Information:
Allergies to medication or food:
REQUIRED
Please fill out this field.
Please enter valid data.
Current medications taken daily or regularly:
REQUIRED
Please fill out this field.
Please enter valid data.
Chronic medical problems or physical restrictions:
REQUIRED
Please fill out this field.
Please enter valid data.
If my teen becomes ill, he/she may be given the following by church representatives, volunteers or employees of OLOR: (choose any that apply)
REQUIRED
Tylenol
Ibuprofen
Throat lozenges
Benadryl
None of the above
Please fill out this field.
All the above information is true and given to Our Lady of the Rosary with parental permission.
I Agree
Please select this field.
Communications/Publicity Release
During the year your teen is a member of Our Lady of the Rosary RCIA. We try to keep them and you as a parent up to date with dates for meetings and/or changes in our calendar of events. With the implementation of the Safe Environment policies within the Diocese of St. Petersburg, we are now seeking your permission for these items
I give my son/daughter permission to communicate with RCIA leaders through the use of:
REQUIRED
(Select One)
Teen Email Only
Teen Mobile Number Only
Either Teen Email or Mobile
None of the Above
Please fill out this field.
Teen's Email (by completing this field I agree to this type of communication with my teen)
Please enter an email address.
Teen's Mobile Number (by completing this field I agree to this type of communication with my teen)
Please enter a phone number.
From time to time, publicity releases for newspapers, television, website, and other media may be prepared about events occurring at the parish. These may or may not be accompanied by photos or videotape of students. The releases may be prepared by Our Lady of the Rosary Parish or media representatives.
Do you give permission for your teen to be included in such publicity releases/photos/videos?
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Code of Conduct Acknowledgement for Teens
I acknowledge that I have received, read, understand and pledge to comply with the “
Code of Conduct for Children and Youth
” within the Diocese of St. Petersburg, FL
(to read and download your copy, please click on Code of Conduct above)
I Agree
Please select this field.
Date
REQUIRED
Please fill out this field.
Please enter a date.
If you are registering for RCIA adapted for teens above, please select "1" to complete the required section below:
REQUIRED
Please fill out this field.
Acknowledgments 1
By typing my name below, I acknowledge that I:
Declare that all information I have provided to Our Lady of the Rosary is true and correct to the best of my knowledge.
If any information above changes, especially medical information, it is my responsibility to contact the RCIA leaders of Our Lady of the Rosary so they can update my family and child’s records
I have read the policies and procedures outlined for Our Lady of the Rosary and agree or acknowledge all information contained within.
I understand that I need to sign and complete the following forms which will be kept on file for all RCIA events including retreats:
Medical Release (if a parishioner of OLOR you don’t need to notarize)
COVID-19 Waiver
Please type your name below to agree to the terms stated above:
REQUIRED
Please fill out this field.
Please enter valid data.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.