Application

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Application

To get the process started, just fill out the simple application below.
If you prefer to fill things out by hand, you can print the application
by clicking this link... - GZMC Student Application

Your Information

Email Address

First Name

Last Name

Home Phone Number

(Include Area Code.)

Cell Phone Number

(Include Area Code.)

Present Mailing Address

City, State & Zip

Birthdate (mm/dd/yyyy)

Current Age

Height

Weight lbs.

Gender

T-Shirt Size

(adult sizes)

Marital Status

How did you hear about Ground Zero Master's Commission?

Parent or Guardian Information

Father / Male Guardian		Mother / Female Guardian
	Name
	Address
	City, State & Zip
	Phone Number
	Occupation
	Accepted Christ?
	Marital Status?
	My Siblings include

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Copyrght©2008 Ground Zero Master’s Commission
125 Saginaw Rd • New London TWP, PA 19352
Phone: 610.869.7332 • Email Us