Baptism Registration *Denotes Required Field * Title About You * Name * Phone ( ) - * Email * Age * Gender Male Female Baptism Details Service Choice (dates TBD) Please select an option Spring Summer - outdoor / river (July 25th) Fall * Preferred Service Time 9am 11am 6pm * I have read the baptism booklet. Yes No I would like a baptism certificate. * Do you have any physical ailments that may hinder your transition in and out of the water? Please select an option Yes No * So that we can better serve you in this experience, would you please explain? We want to celebrate 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 in the space provided. I(we) give permission to CrossRoads Church to share my first name to be used for the purpose of celebration and/or awareness 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 awareness. Comments
