Baptism Form

Please fill out this form and click submit.

Please call the church office before filling out the form at 326-8553 to make sure we have a pastor available for the date you are requesting. Thanks!

Date of Baptism

*

Service Time

*

Please select one option.

Sunday Worship--9:30am Wednesday Worship--6:00pm Other

Name of Baptized

*

Middle Name

*

Date of Birth

*

Place of Birth (City, State)

*

Gender

*

Please select one option.

Female Male

*

Please select one option.

Child Adult

If a child, is this your 1st to be baptized? If so, our pastor will contact you for a meeting.

*

Please select one option.

Yes No

Mother's Name--First, Middle, (Maiden), Last

*

Are you a member of Zion?

*

Please select one option.

Yes No No, but I'm interested

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Please add me to the weekly Zmail email news

*

Please select one option.

Yes No I'm already getting it

Father's Name--first, middle, last

*

Are you a member of Zion?

*

Please select one option.

Yes No No, but I'm interested

Phone

*

Email

*

Please add me to the weekly Zmail email news

*

Please select one option.

Yes No I'm already getting it

Sponsors--Please list names and whether they are separate people or a married couple so we can make the correct number of certificates. Thanks!

*

Description

Please fill out this form and click submit.

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