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Plan Your Visit
- Next Step
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- Vision
- Values
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News and Forms

Submission of this form does not imply an approval of your baby's dedication. Once completed, you will be contacted.

Child's Name *

First

Last

Child's Date of Birth *

Gender *

Male
Female

Father's Name *

First

Last

Mother's Name *

First

Last

Grand Parent's Name *

First

Last

God Parent's Name *

First

Last

Contact's Email Address *

Contact Phone Number *

Are the child's parents members of Zion Hill Baptist Church Truth Center *

Yes
No

Additional Notes

Use this box to elaborate further on your request

Comment

Thank you for your interest in submitting a prayer request form. By submitting this form you will send a message to our Bishop that will allow him to pray for you and your need.

Name *

First

Last

Email *

Phone Number *

Prayer Request *

May we contact you regarding your prayer request? *

Yes
No

Phone

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