Graduation 2021

Crossroad Community Church will be honoring its attending graduates in a video tribute during our weekend services. If you attend Crossroad Community on a regular basis and are graduating from high school or college this year:

Please fill in the following information, and include your name at the bottom if you are not the graduate
Please upload a head shot picture, and a second picture showing a special interest Below or to kari@crossroadcc.us or print and mail Graduate Form 2021 with attached photos to 20684 State Forest Road, Georgetown, DE 19947
Please use the graduates address on the form, we would like to mail a small gift
Check out our website (www.crossroadcc.us) and Facebook Page on June 5th & 6th, 2021 for the online video tribute.

2021 Graduate Form – Download

Name *

First

Middle

Last

Contact Name (if you are not the graduate)

First

Last

Graduating From *

Date Graduating *

Degree Achieved *

Parent's Names

Spouse's Name

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Future Plans

Achievements

Please list achievements or special highlights from your high school or college experience:

Have you received a gift from CCC in prior graduation recognitions? *

Cell Phone *

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Phone