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Greater King David Baptist Church Member Information Form - Dr. John E. Montgomery, II - Pastor
*Every member baptized at GKD or joined GKD by Christian Experience MUST complete this form.
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Email
*
Your email
GKD Member Number:
Your answer
Member of GKD Since:
MM
/
DD
/
YYYY
Member Name:
*
Your answer
Member Date of Birth:
*
MM
/
DD
/
YYYY
Address:
*
Your answer
Phone Number (Cell):
*
Your answer
Phone Number (Home):
*
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Children's Names and Birthdates (If entering more than one name, hit the enter key to type new name and birthdate on new line):
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Emergency Contact Name:
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Emergency Contact Number (Ex. 225.123.4567 (Cell)):
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