Zion Mondovi Member Information
This form will help our pastor and church office minister to families and the congregation. All information which you submit will be kept confidential.
Email address *
Full Name (please include maiden name if applicable) *
Phone Number(s) *
Address *
Occupation
Date Born *
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Place of Birth *
Father's Name
Mother's Name and maiden name
Date of Baptism & Pastor who officiated (if known)
Baptism Sponsor (s)
Date of Confirmation & Pastor who officiated (if known)
Date of Marriage & Pastor who officiated
Are you currently a member of another Christian congregation? If yes, please share church name and address. Would you like us to request a transfer of your membership?
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?
Thank you for helping us serve in Jesus name! If you have any questions about this form please call Pastor Scott (517-607-5650) or the church office (715-926-3664)
May Christ be your Light and Life!
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