Baptism Form • St. Barnabas Member Account Portal

Help us prepare for upcoming baptisms by filling out the following.

Choose Event

Please fill out the following information as you would like it to be printed on the Baptism Certificate and Service Bulletin.

First Name *

Middle Name *

Last Name *

Date of Birth *

Birth Place (city, state) *

Parent Names *

Godparent Names *

Godparents do not need to be Episcopalian, but they should be a committed Christian.

Comments, Questions, or Suggestions including baptism dates that would work better for your family:

Email Address *

Phone Number *

Mailing Address *

Mailing Address Line 2

Mailing City *

Mailing State *

Mailing Zip Code *