Church of the Holy Family Catholic Church/Baptism Request Form/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 and Contact Information

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.

Baptism Request Date

Masses not listed are already full. Please choose from the dates below.

First Choice REQUIRED Saturday, September 4, 2021 at 5:30 p.m. Mass Sunday, September 5, 2021 at 8:15 a.m. Mass Saturday, November 13, 2021 at 5:30 p.m. Mass Sunday, November 14, 2021 at 8:15 a.m. Mass Please fill out this field.

Second Choice REQUIRED Saturday, September 4, 2021 at 5:30 p.m. Mass Sunday, September 5, 2021 at 8:15 a.m. Mass Saturday, November 13, 2021 at 5:30 p.m. Mass Sunday, November 14, 2021 at 8:15 a.m. Mass Please fill out this field.

Sign-Up for Baptism Class

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, 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.