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Life Church Members Information
Please complete the following information which will be added to our data base. Please tick what contact details are to be published in the Life Church Phone Directory. If they aren't ticked they won't be available for people to see
Name
*
Title
First name
Last name
Show on directory ?
Contact Information
Persons address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Show on directory ?
Email address
Show on directory ?
Home phone
Show on directory ?
Cell phone
Show on directory ?
Preferred contact method
This helps us keep in contact with you
Email
Text
Letter
Phone
Facebook
Slack
Cell
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Personal Information
Date of Birth
Age Range
*
under 18
18 - 25 years old
25- 40 years old
40 - 64 years old
65- 75 years old
75+ years old
Gender
*
Female
Male
Wedding Date
Optional, this information will be stored on our database
Marital Status
Optional, this information will be stored on our data base
De facto
Divorced
Engaged
Married
Separated
Single
Single Parent
Single, previously married
Widow/Widower
Ethnic Origin
What country were you born in or orginated from
Occupation
Current Occupation Detail
Employer
Current Employer. If self Employed please write Self Employed
Qualifications/Skills
Some qualifications are really helpful for us to know about. If there is anything else that you think is helpful for us to know please add
First Aid Certificate
First Aid Comprehensive
Heights License
Test & Tag
Other Qualifications not listed above
Life Group (s) I attend
Mixed Group - Martin and Sarah
Men's group - Mark & Marius
Single Women's Group - Steph Hay
Mixed Group - Peter & Linda
Women's Life Group - Ellie Ross & Kathryn Mckie
Women's Life Group - Fiona and Sally
Women's Life Group - Margaret & Jo
Women's Life Group - Sue and Maree
Men's Group - Bryan Robinson
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Medical Information
Allergies
*
Please list any known allergies. If you have none please put none
Are there any medical conditions you would like us to be aware of
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I would like to attend a Pathways Workshop
Pathways is a course we run every term to help you discover your spiritual gifts and explore ways to get involved here at Life Church
I would like to find out more about where I can serve here at Life Church
There are many ways to be involved in our different ministries here at Life Church. Please tick if you would like to know ways you can serve here at Life Church.
Please issue me a giving number
to be able to receive a donation receipt at the end of the year you need a number so that we can record any donations given by you.
Permission for use of photos
Please select Yes if you give us permission to use photos of you on Social Media or website.
No
Yes
If there is anything else you would like us to know, please share it here.
Completed by
*
Date
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