Hudson Grove AME Zion Church
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The AME Zion Church
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Pastor Dee
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Full Name *
Street Address *
Phone Number *
Email address *
Date of Birth *
Preferred Method of Communication *
Email
Phone
Level of Education (Yrs. Completed) *
Degree(s) Hold
Emergency Contact Name *
Emergency Contact Phone Number *
Membership Status *
Probation
Full Connection
Watch-care
Military *
Yes
No
Employment *
Employed
Unemployed
Retired
Job Position/Title/Occupation *
Past/Present Ministries
Affiliations/Organizations/Civics/Clubs
Have you been baptized? *
Yes
No
Are you married? *
Yes
No
Spouse Name (If Married)
Do you have children? *
Yes
No
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