Infant Baptism Registration

Use this form to register if you’re wanting to baptize your child who cannot answer the baptismal vows for themselves.

Your name *

Email address *

Primary campus *

Full name of child being baptized

First *

Middle

Last *

Suffix

Child's date of birth *

Child's place of birth *

City & state

Parents' names as they should appear on the baptism certificate *

Are you a member of Crossroads Church? *

Phone number *

Address *

Household members

Who else lives at this address?

Names of sponsors who will participate in the service

Sponsors are optional and do not attend the pre-baptism meeting.

Any comments or anything else we should know?

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