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Youth Baptism Form (Grades 7-12)

At CrossRoads Church, we believe that baptism is a step of obedience for those who follow Jesus. It is a way for us to publicly declare that we acknowledge Jesus as Lord and are committing our lives to walking in His way.

We are so happy to see that you are interested in being baptized!* We want to chat with you a bit about your faith, the meaning of baptism, and why you want to be baptized. Please fill out the form below, and then someone will contact you to set up a time to chat about baptism and if it's the right next step for you!

* Parents, if you are helping your youth fill out this form, please encourage them to think through their own answers to the questions below or have conversations about them together. Don't just fill in the answers for them.

Your name *

Last name

Email address *

Phone number *

Phone type

Baptizee Details

Details of the person being baptized

First & Last Name of person being baptized: *

Parent's email address *

Please confirm the time you would like to be baptized. *

The time is not guaranteed, but we will do our best to baptize you at the service you request!

Gender of person being baptized *

Female

Male

Age of person being baptized *

Grade

Baptism Details

Have you read the baptism booklet? *

If no, we ask that you read the baptism booklet on the baptism page of the CrossRoadsChurch.ca website before you come meet with us about baptism.

Yes

Would you like a baptism certificate? *

Yes

Do you have any physical ailments that may hinder your transition in and out of the water? *

Yes

We want to celebrate with you! In order to do so, any photos or recording of a baptism may be posted online. Please read and answer the questions below. If you have any concerns regarding this, please leave a comment in the space provided. *

I (we) give permission to CrossRoads Church to share my first name to be used for the purpose of celebration and/or awareness of baptism

I (we) give permission to CrossRoads Church to take photographs and/or a recording of my baptism to be used for the purpose of celebration and/or awareness

If you have any additional comments or information please share below.

Share Your Story

Please answer the following questions to the best of your ability. They are meant to help us understand where you are at in your faith and how we can best support you as you follow Jesus!

Why do you want to be baptized? *

If someone asked you who Jesus is, how would you answer? *

How and why did you decide to invite Jesus to be the Saviour and Lord of your life? *

How did you become a Christian? When did you know you needed Jesus to to be your Saviour?

What difference does Jesus make in your everyday life? *

What have you noticed change in your life since deciding to follow Jesus?

Do you consider yourself to have been previously baptized in any form? If so, please explain. *

Is there something you're struggling with that you need Jesus to help you stop or change? *

How can we help you? Your comments will be kept in confidence and will not necessarily delay you from being baptized. We want to walk with you and help you grow. Christianity is more than inviting Jesus to forgive sins and being baptized. It includes accepting His leadership in our lives and following Him.

Do you have someone in your life who is a mature follower of Jesus who you can talk to about faith and life? *

Any other comments or questions or things you'd like us to know?

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CrossRoads Church
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