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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
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Title
First name
Last name
Show on directory ?
Contact Information
Persons address
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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
Personal Information
Date of Birth
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
Seperated
Single
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
Hobbies/Sports and Interests
We would love to find out what you enjoy doing eg Walking, cycling, soccer, netball, movies, eating out, crafts, fishing to name just a wee few. You can include as many as you can think of!
Life Group (s) I attend
Women's Life Group - Sue and Maree
Freedom
Manson's Life Group
Bowen/Roux Life Group
Women's Life Group - Fearless Sisters
Kendrick's Life Group
Women's Life Group - Margaret & Jo
Men's group - Mark & Cody
Thompson's Life Group
Weaver's Family Life Group
Carmel's Women's Study Group
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
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
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Date
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Please check the highlighted fields
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