Baptismal Information Form
Please complete the form below to submit information for baptism at St. Barnabas Episcopal Church.
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Email *
Candidate Information
Please fill out all information for the baptismal candidate.
Is the candidate an adult (18+) or a child (under 18)? *
Full Legal Name of Baptismal Candidate *
Preferred Date of Baptism *
All baptisms will take place at the 10:30am service on the dates below, with the exception of the Easter Vigil service which takes place at 8:00pm.
Candidate's Date of Birth *
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DD
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Candidate's Gender *
Candidate's City and State of Birth *
Family's Preferred Address *
Include street address, city, state, and zip
Parent or Guardian Information
Please fill out all parent/guardian information. Only one parent/guardian section is required, however if there are two parents/guardians please do fill out both for our records and to ensure that you receive an accurate baptismal form.
Parent or Guardian #1 Full Legal Name (include Maiden, if applicable) *
Parent or Guardian #1 Date of Birth *
MM
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DD
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YYYY
Parent or Guardian #1 Date of Baptism *
MM
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DD
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YYYY
Parent or Guardian #1 Church and Denomination of Baptism *
Parent or Guardian #1 Phone Number *
Parent or Guardian #1 Email Address *
Parent or Guardian #2 Full Legal Name (include given surname, if applicable)
Parent or Guardian #2 Date of Birth
MM
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DD
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YYYY
Parent or Guardian #2 Date of Baptism
MM
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DD
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YYYY
Parent or Guardian #2 Church and Denomination of Baptism
Parent or Guardian #2 Phone Number
Parent or Guardian #2 Email Address
Parent or Guardian Wedding Anniversary Date (if applicable)
MM
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DD
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YYYY
Godparent or Sponsor Information
Please fill out information for Godparents (for children/youth candidates) or sponsors (for adult candidates). Up to four Godparents/sponsors may be chosen. It is not required for baptismal candidates to have a Godparent or sponsor, however it is highly encouraged.
Godparent or Sponsor #1 Full Legal Name
Godparent or Sponsor #1 Date of Baptism
MM
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DD
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YYYY
Godparent or Sponsor #1 Church and Denomination of Baptism
Godparent or Sponsor #2 Full Legal Name
Godparent or Sponsor #2 Date of Baptism
MM
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DD
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YYYY
Godparent or Sponsor #2 Church and Denomination of Baptism
Godparent or Sponsor #3 Full Legal Name
Godparent or Sponsor #3 Date of Baptism
MM
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DD
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YYYY
Godparent or Sponsor #3 Church and Denomination of Baptism
Godparent or Sponsor #4 Full Legal Name
Godparent or Sponsor #4 Date of Baptism
MM
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DD
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YYYY
Godparent or Sponsor #4 Church and Denomination of Baptism
A copy of your responses will be emailed to the address you provided.
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