City of Zion, the Mount Zion Church-Membership Intake Form

City of Zion, the Mount Zion Church

Welcome Home-New Members Information Station
Today, I Decided to: (Please select all that apply. *Please note you do not have to fill out a separate baptism form if you would like to be baptized.)*

Accept Jesus into my Life!Re-Dedicate my life to Christ!Become a Champion! (A Member of City of Zion)Be Baptized!
*Please be sure to fill this form out in its entirety so that our office may have the most current and up to date information.
Name*

First NameMiddle NameLast Name
Suffix
Gender*
Birthdate*

MonthDayYear
Date
Email*
example@example.com
Cell Phone*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional family members that are joining with you please list here. Please list each individual(s) name, birthdate, gender, phone, email, and relationship to you.
What campus do you plan on attending?*

ToledoOnline
City of Zion, the Mount Zion Church

701 Vance Street | Toledo, Ohio 43604

City of Zion, the Mount Zion Church

Bishop Talmadge J. Thomas | Lead Pastor

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