Baptism Request Form/Church of the Holy Family Catholic Church/Virginia Beach, VA

Baptism Request Form

Are you a registered parishioner at Holy Family? REQUIRED Yes No Please fill out this field.

If you "No", please complete a registration form by stopping by the parish office during business hours.

Child's Information

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

Child's Middle name Please enter valid data.

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

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

City and State of Birth REQUIRED Please fill out this field. Please enter valid data.

*If you are requesting Baptism for children 7 years and older, please contact the parish office at (757) 481-5702.

Mother's 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.

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.

Father's 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.

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

Home Address

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 Please fill out this field.

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

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

Best days and times to reach me: REQUIRED Please fill out this field. Please enter valid data.

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

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

Preferred Baptism Date REQUIRED Sunday, January 10, 2021 at 11:00 a.m. Mass Saturday, May 8, 2021 at 5:30 p.m. Mass Sunday, September 5, 2021 at 11:00 a.m. Mass Saturday, November 6, 2021 at 5:30 p.m. Mass Please fill out this field.

Parents will need to attend a Baptism preparation class prior to the Baptism date. Please select one of the following dates:

I would like to attend the Baptism class on: REQUIRED Thursday, January 7, 2021 at 6:30 p.m. Thursday, April 29, 2021 at 6:30 p.m. Thursday, August 26, 2021 at 6:30 p.m. Thursday, October 28th at 6:30 p.m. Please fill out this field.

Church of the Holy Family

Virginia Beach, A

Baptism Request Form

Infant Baptism (for Ages 6 Years Old and Under)