Page 15 | Crossroads For Life Ministries

I'd like to... (Required)

Please select your desired service. Fields 1-4 are required.

Get Married

Bury a loved one

Be Baptised

Have my child(ren) dedicated

1. Please provide target date for event (Required)

If uncertain of actual date, please estimate

2. Enter your Name (Required)

3. Best Contact Number (Required)

4. Best time to contact you? (Required)

Baby Dedication: Enter full name for both parents:

Only Complete these questions, if you have selected baby dedication services. Thank You

Baby Dedication: Enter full name for Godparents:

Baby Dedication: Enter full name of child(ren)

Crossroads For Life Ministries