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Dayton Infant Baptism and Dedication Registration
Please complete this form for EACH child being dedicated or baptized. Our Kids’ Club team will be in touch to discuss next steps!
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Child's First Name
*
Your answer
Child's Middle Name
*
Your answer
Child's Last Name
*
Your answer
Child's Date of Birth (month/date/year):
*
Your answer
I would like to have my child (baptized or dedicated):
*
Dedicated
Baptized
Parent/Guardian #1 Name (Please note if last name is different)
*
Your answer
Parent/Guardian #1 Preferred Email Address:
*
Your answer
Parent/Guardian #2 Name (Please note if last name is different)
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
We'd love to hear more about your family story
How long have you attended Crossroads? Does your child's name have any special meaning? Are there special circumstances surrounding your child's birth that you would like to share?
Your answer
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