Zion Mondovi Member Form
This form will help our pastor and church office minister to families and the congregation. All information which you submit will be kept confidential. Thank you for helping us serve in Jesus name! When completed, we will be in contact with you. If you have any questions about this form please call Pastor Scott (517-607-5650) or the church office (715-926-3664).
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Full Name *
Date Born *
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Place of Birth
Phone Number(s) *
Address *
Email address *
Spouse's Name (if married)
Date of Baptism & Pastor who officiated (if known)
Date of Baptism & Pastor who officiated (if known)
Baptism Sponsor (s)
Date of Confirmation & Pastor who officiated (if known)
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Date of Marriage & Pastor who officiated
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Are you currently a member of another Christian congregation? If yes, please share church name and address.
If you are a member of another Christian congregation, Would you like us to request a transfer of your membership?
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If you have children, please list their names, birthdays, and if applicable, baptismal/confirmation dates (along with officiating pastor)
Please Check areas where you'd be interested in serving at Zion.
Questions? Concerns?
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