Infant Baptism and Dedication Registration Form
Please complete one form for each child being dedicated or baptized. We must receive this information before we can confirm your participation.
Today's Date
Your answer
Child's Full Name
Your answer
Date of Birth
Your answer
I Would Prefer to Have My Child:
Which Crossroads site do you attend?
Parents'/Guardians' Names
Your answer
Street Address
Your answer
City, state and zip code
Your answer
Phone Number
Your answer
Parent's Email
Your answer
Family Story
Please write a paragraph or two describing your family's story; how long you've been at Crossroads, how and when you decided to follow Christ, any special circumstances surrounding the birth of your child, etc.
Any Significant Meaning to Child's Name
Your answer
Story
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Crossroads. Report Abuse - Terms of Service - Additional Terms