Baptism Registration *Denotes Required Field * Title * Name * Address * Age category Adult (18+) Sr. High Youth Jr. High Youth Child (up to grade 6) Age * Gender Male Female * Phone ( ) - * Email * Preferred Service Time 9am 11am * I have read the baptism booklet. Yes No I would like a baptism certificate. We want to celebrate in our community with you! In order to do so, any photos or recording of a baptism may be posted online. Please read and answer the questions below. If you have concerns regarding this, please leave a comment below. I(we) give permission to CrossRoads Church to share my name to be used for the purpose of celebration and/or advertisement of baptism. I(we) give permission to CrossRoads Church to take photographs and/or a recording of my baptism to be used for the purpose of celebration and/or advertisement. Comments Do you have any physical ailments that may hinder your transition in and out of the water?