Baptism Form Crossroads

Before completing the form, please read our church's explanation on what baptism is. Click here:
What is Baptism?

Name*

First NameLast Name

E-mail*

Phone*

Area CodePhone Number

Birth Date*

MonthDayYear

If under 18: Parent's Name*

Please note that depending upon a child's age, we may recommend delaying the baptism until a later date.

Briefly explain how and when you submitted your life to Christ*

Why do you want to be baptized? Have you been baptized before?*

Will you be available to talk briefly with Crossroads leadership at some point before Sunday afternoon, 1pm on 6/26?*

YesNo

I give permission for Crossroads to use our pictures in their media and advertising.

YesNo

Please click here to RSVP with how many people will be coming to our June 26:
Baptism and BBQ RSVP

(be sure to come back to this page and hit "Submit")

Any questions or comments you'd like to share with us ahead of time?