Dayton Infant Baptism and Dedication Registration
Please complete this form for EACH child being dedicated or baptized.
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Child's First Name *
Child's Middle Name *
Child's Last Name *
Child's Date of Birth (month/date/year): *
I would like to have my child (baptized or dedicated): *
Parent/Guardian #1 Name (Please note if last name is different) *
Parent/Guardian #1 Preferred Email Address: *
Parent/Guardian #2 Name (Please note if last name is different)
Street Address *
City *
Zip Code *
Phone Number *
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. Anticipated start time is 30 minutes following service.
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?
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