Members’ Pastoral Reception Registration

Pastor Bryan & Lady Deb Pierce are excited about serving Mount Zion and the community.  Come fellowship and socialize with them during this reception.  Please complete the registration form below in order to make proper accommodations.

If you are human, leave this field blank.

Group

Creative Movement (Kindergarten)

Children (1st-2nd Grade)

Youth 1 (3rd-5th Grade)

Youth 2 (6th-8th Grade)

Teen (9th-12th Grade)

Adult Praise & Worship (18+)

Flag Praise & Worship (18+)

Step (7th-12th Grade)

Mime (7th and up)

Drama

Senior Adult Dance Ministry*

Flag (7th-12th Grade)*

*Potential additions to Ministry

Name *

First

Last *

Last

Parent/Guardian Name (IF UNDER 18)

Email *

Home Phone Number

Cell Phone Number *