Baptism - Crossroads Church

Personal Info

Birthdate *

Gender *

Phone number *

Communication Preference *

Address *

T shirt size

Is the person being baptized a minor? (Under 18 years) *

Is there a Crossroads Leader or mentor in your life who has invested in you and your faith?

If so, please list their name

When did you give your life to Christ? *

Tell us your story!

Do we need to be aware of any special needs for your baptism?

Wheelchair, Disability, or any other needs we need to be aware of.