Zion on the Hill - Lutheran Church in York, PA

Zion Lutheran Church Membership Information

Welcome! Please complete this form to join our church family. We're excited to have you as part of our community.

Family Information

Family Surname *

Family Address *

Home Telephone *

Unlisted

Wedding Date (if applicable)

Family Members

Family Member 1

Name *

Maiden Name (if applicable)

Cell Number *

Email Address *

Weekly email and monthly newsletter will be sent to this email

Date of Birth *

Birth Location *

Baptism Information

Baptism Date

Baptism Church

Baptism Location

Baptism Pastor

Confirmation Information

Confirmation Date

Confirmation Church

Confirmation Location

Confirmation Pastor

Last Church Home

Church Name

Address

Pastor

Personal Information

Education Level

Occupation

Place of Employment

Hobbies and Interests

Additional Information

Names for Directory

Miscellaneous Information

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