Request Baptism This form is for requesting baptism of a child under the age of 15. To inquire about baptism for older children or adults, please visit ourladyofhope.net/rcia. Parish InformationAre you a registered parishioner at Our Lady of Hope?*YesNoWhat is your home parish?*Parish name, city, and state Why are you requesting baptism at Our Lady of Hope? What is Your Parish ID Number?*This number can be found on your donation envelopes. Child's InformationName of Child* First Middle Last Date of Birth* MM slash DD slash YYYY Gender*MaleFemaleNot Yet KnownCity of Birth* Inova Alexandria Hospital - Alexandria; Inova Fairfax Hospital - Falls Church; Inova Fair Oaks Hospital - Fairfax; Inova Loudoun Hospital - Leesburg; Reston Hospital Center - Reston; StoneSprings Hospital Center - Dulles; Virginia Hospital Center - ArlingtonWas child adopted?*YesNoHas the child been privately baptized?*YesNoFamily InformationHome Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Father's Name*Please use full name (not initials). First Middle Last Father's Religion* Mother's Name*Please use the FULL NAME of the mother including any middle name given at Baptism, even if this name is no longer used or has been changed after marriage. Church law requires the mother's maiden name be recorded in the Sacramental Register and Certificate. First Middle Maiden Last Mother's Religion* Are parents married?*YesNoIn a Catholic church?*YesNoWhich church?*Please include the parish name, city, and state GodparentsGodfather's Name* First Middle Last Godfather's Religion* Godmother's Name* First Middle Last Godmother's Religion* Will either Godparent be represented by a proxy?*NoGodfatherGodmotherName of Proxy* Religion of Proxy* Baptism PreparationHave the parents attended a baptism class at Our Lady of Hope previously?* Yes No Date of Baptism Class Attended at Our Lady of Hope*Month and year Please choose the date you would like to attend the Baptism Preparation class.*The Baptism Preparation Class is held the third Saturday of the month from 11:30 a.m. to 1:30 p.m. Childcare is not provided. MM slash DD slash YYYY The Sacrament of Baptism is celebrated on Sundays after the 12:15 p.m. Mass. Families not attending the 12:15 p.m. Mass should plan to arrive early to avoid a crowded parking lot. Please have all attendees gathered by the baptismal font no later than 1:15 p.m.Additional NotesEmailThis field is for validation purposes and should be left unchanged.