SMZBC Membership Form

Name:

Preferred Name / Nickname

Birthdate

Email:

Primary Phone Number:

What is your primary phone?

Secondary Phone Number:

What is your secondary phone?

Home Address

Preferred Method of Communication: Choose the ways you would like to receive information from SMZBC

Email

Text Message

I don't do technology, I'll hear announcements on the prayer calls and in worship

Click the box below to give Sixth Mount Zion Baptist Church permission to add you to their e-newsletter mailing list.

Sixth Mount Zion Baptist Church has permission to add me to their e-newsletter mailing list.

I do not wish to receive e-newsletters from Sixth Mount Zion Baptist Church.

Click the box below to give Sixth Mount Zion Baptist Church permission to add you to their SMS texting list.

Sixth Mount Zion Baptist Church has permission to send text messages to the cell phone number I provided.

do not wish to receive text messages from Sixth Mount Zion Baptist Church.

Marital Status

Spouse's Name

Wedding Anniversary

New Field:

Parents of Children & Youth: Please share their names and birthdates here.

Have Pets? Share what type of pet, names, and anything else you'd like us to know.

Year I Joined Sixth Mount Zion (estimate if you don't remember)

Year I was Baptized (type Not Yet if you are awaiting baptism)

This is Me: Upload a Photo that we can use in our membership database

This is Us: If you'd like, upload a photo of your family and/or pets that we can add to our membership database.

Fun Fact: Share something about you that you'd like your church family to know.

SMZBC Ministry Interest: Please check ALL ministries that you are interested in joining or are currently involved in.