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Richmond Infant Baptism and Dedication Form
Please complete this form for EACH child being dedicated or baptized.
Child's First Name *
Your answer
Child's Middle Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth (month/date/year): *
Your answer
I would like to have my child (baptized or dedicated): *
Parent/Guardian #1 Name (Please note if last name is different) *
Your answer
Parent/Guardian #1 Preferred Email Address: *
Your answer
Parent/Guardian #2 Name (Please note if last name is different)
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Preferred Date (Please choose only 1): *
You will receive an email confirming the date for which you registered. If the date you chose is full, you will be added to the next available date in Richmond. Anticipated start time is 12:30.
We'd love to hear more about your family story
How long have you attended Crossroads? Does your child's name have any special meaning? Are there special circumstances surrounding your child's birth that you would like to share?
Your answer
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