Crossland Baptism Form
If you are ready to take the next step toward your public profession of faith and baptism you've come to the right place. By filling out this form, one of our Pastors will be in contact with you to discuss your desire to be baptized at Crossland! Fill out the form complete so we can easily respond to this request.
First Name of Person being Baptized
Your answer
Last Name of Person being Baptized
Your answer
Mailing Address of Person being Baptized
Your answer
Contact Phone Number
Your answer
Age of Person being Baptized
Your answer
Birth Date of Person being Baptized
MM
/
DD
/
YYYY
If you are NOT the person being baptized, what is your relationship with them
Column 1
Parent
Guardian
Spouse
Other
Your Name (If you are not the person to be baptized)
Your answer
What is the Date of the Sunday you are interested in being baptized?
MM
/
DD
/
YYYY
Submit
Use the button below to complete this request. It will be directed to one of our Pastors who will follow up with you within 48 hours.
Submit
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