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Please enter your top 3 choices for the date of the baptism (Month/Day/Year) |
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| Choice 1- * |
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| Choice 2- * |
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| Choice 3- * |
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Please select the Sunday worship service you prefer |
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Please indicate number of Children 4th grade and under attending. (This information will be given to our Children's Ministry for planning purposes)
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| Number of children- |
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Please select the ritual of baptism you would prefer |
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Baptism Candidate Information |
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Please Indicate the name as it should appear on the Baptism Certificate |
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| Full Name- * |
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| Birth Date- * |
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| Phone- * |
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| Address- * |
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If candidate is an adult, please select one of the choices below. |
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Please complete this section for Youth/Child and Infant baptism candidates |
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| Fathers Name- |
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| Fathers Address- |
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Is this parent a baptism sponsor? |
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a Regular CROSSROADS attendee? |
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a TEAM Member? |
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a Regular attendee of another church? |
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| Church Name- |
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| Mothers Name- |
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| Mothers Address- |
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Is this parent a baptism sponsor? |
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a Regular CROSSROADS attendee? |
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a TEAM Member? |
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a Regular attendee of another church? |
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| Church Name- |
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Please indicate the names of the sponsors as they should appear on the Baptism Certificate |
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| Sponsor 1- * |
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| Sponsor 2- |
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| Sponsor 3- |
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| Sponsor 4- |
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Photo/Video Release Form |
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I hereby authorize CROSSROADS CHURCH and those acting in pursuant to its authority to: |
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A. Record my participation and appearance on video tape, film, photography and digital recording devices |
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B. Exhibit or distribute such recording, in whole or in part, within CROSSROADS CHURCH, on the website, and on local cable access television |
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I hereby release and discharge CROSSROADS CHURCH, its employees and agents, and its lay leadership from any and all claims and demands arising our of or in connection with the use of such media. |
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| Name- |
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| Address- |
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| Phone- |
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I hereby certify the information in regards to the photo/video release section was filled out by someone of at least 18 years of age. |
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After you click the submit buttom, you MUST wait until it says, "Thank you for your submission!" to assure that it has gone through. Then, follow the instructions to send a notification email so that we know you submitted a form. |
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