Baptismal Information Form

Baptisms are celebrated on the first and third Sundays (with the exception of major church Holy Days) of each month at 12:45pm. A Letter of Eligibility must be obtained from one of the priests in the Godparent's parish if not from St. Rose.

Requested Date for Baptism REQUIRED

Must choose the first or third Sunday of the month

Please fill out this field. Please enter a date.

Are parents registered parishioners of St. Rose? REQUIRED Yes No Please fill out this field.

If not, where are you registered? Please enter valid data.

What is the reason you are requesting baptism at St. Rose? Please enter valid data.

Is this your first child? REQUIRED Yes No Please fill out this field.

If not, when and where did you attend a baptismal preparation class? Please enter valid data.

Complete Name of the Child to be baptized: REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Place of Birth:

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

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 Religion REQUIRED Please fill out this field. Please enter valid data.

Parents' Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Were the parents married in a ceremony validly recognized by the Catholic Church? REQUIRED Yes No Please fill out this field.

If no, by whom/where? Please enter valid data.

Did the child receive private baptism in hospital or at home? REQUIRED Yes No Please fill out this field.

If yes, when/why? Please enter valid data.

* One Godparent MUST be a practicing Catholic. If you are not a parishioner of St. Rose, you will need to obtain a Sponsor Eligibility Letter from your parish.

Is at least one Godparent a practicing Catholic? REQUIRED Yes No Please fill out this field.

GODFATHER INFORMATION:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Parish REQUIRED Please fill out this field. Please enter valid data.

GODMOTHER INFORMATION:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Parish REQUIRED Please fill out this field. Please enter valid data.

Church of St. Rose 603 Seventh Avenue Belmar, New Jersey 07719 T: (732) 681-0512 F: (732) 280-3107	OFFICE HOURS Mon-Friday 9:30 AM- 12 noon and 1 PM to 4 PM	MASS SCHEDULE Monday – Friday: 6:45 & 9:00 am Monday Evening Adoration: 7:00 pm Saturday: 5:00 pm Sunday: 7:00, 9:30, 11:30am & 5:00 pm Confessions: 4:00 – 4:50 pm Saturday
Diocese of Trenton	St. Rose Grammar School	St. Rose High School