Baptism
Please complete the form below if you are interested in being baptized at Crossroads Community Church.
Name
*
First Name
Last Name
Email address
*
example@example.com
Phone number
*
Format: (000) 000-0000.
Age
*
In a few sentences, describe your life before Jesus, how you met Jesus, and what life has been like since.
Why do you want to be baptized?
Can you point to any life circumstances or people that were significant in your decision to follow Jesus? Why were they significant?
Which service do you normally attend?
Please Select
1st Service
2nd Service
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Submit
Should be Empty: