Request Baptism This form is for requesting baptism of a child under the age of 7. To inquire about baptism for older children or adults, please visit ourladyofhope.net/rcia. Parish InformationPlease select a Sunday for the baptism**Please note, dates selected are tentative till all original paperwork has been received and approved* Baptisms take place on Sundays at 1:30 pm in the parish narthex. MM slash DD slash YYYY Are 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? *For people who are not parishioners*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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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* Father's Sacraments* Baptism First Holy Communion Confirmation 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* Mother's Sacraments* Baptism First Holy Communion Confirmation 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 at 11:00 a.m. in the St. Thomas More Room. Class lasts about one hour. MM slash DD slash YYYY Additional NotesEmailThis field is for validation purposes and should be left unchanged. Δ