BAPTISM REGISTRATION


First Name*
Last Name*
Email*
Address*
City*
State*
ZIP*
Birthdate (MM/DD/YYYY)*
Home Phone
Cell Phone*
Please state briefly how and when you accepted Christ as your Savior:
Why do you want to get baptized? Have you been baptized before (since becoming a Christian)?
Please select one:
Please answer the simple math question below to submit the form.
2 + 2 =
* We will be corresponding with you about your meeting and baptism through email.

Once we receive your registration form, we will contact you to schedule your baptism. If you have any other questions or concerns regarding baptism, please contact israel@mycrosspoint.org or call 228-328-2481.