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Infant Baptism Registration
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Registration Entry
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Gender
Male
Female
Gender is required.
Show Spouse
Address
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AK
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AZ
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CA
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DE
DC
FM
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IN
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OR
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TN
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VA
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Marital Status
Single
Married
Divorced
Widowed
Separated
Marital Status is required.
Your Region
Pittsburgh West
Pittsburgh South
Pittsburgh North
Ohio Valley
Your Region is required.
Child First Name
Child First Name is required.
Child Middle Name
Child Last Name
Child Last Name is required.
Child Suffix
Jr.
Sr.
Ph.D.
II
III
IV
V
VI
Child Gender
Unknown
Male
Female
Child Gender is required.
Child Date of Birth
Child Date of Birth is required.
Child Place of Birth
Child Place of Birth is required.
Parents’ Names as They Should Appear on the Baptism Certificate
Parents’ Names as They Should Appear on the Baptism Certificate is required.
Names of sponsors who will participate in the service
Any comments or anything else we should know?
Are you a member of Crossroads Church?
No
Yes
Are you a member of Crossroads Church? is required.
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