DIRECTORY UPDATE FORM

 

NOTE:  Please use the 'TAB' key to move to the next field in the form below. By using the 'Enter' key, you will actually submit the form.

Surname (Family Name) :

Address :

Suburb :       Postcode :

Home Telephone :

 

  Person First Name     Birth Date

Mobile Phone

  Email Address

Does this person attend   PenCC?   

School Year Level

YOU

                 

 Spouse

                 

  Dependant Child 1

                 

  Dependant Child 2

                 

 Dependant Child 3

           

 Dependant Child 4

           

 Dependant Child 5

           

 Dependant Child 6

           

 

1. Are you a Member or Partner of PenCC :                  I would like to know more about this :

 

2. What Ministries are you currently involved in :  Eg.  Sunday Services / Children's / Youth / Peninsula Christian Care / Alpha / Women's / Men's / Creative Ministry / Connect Leader etc. (please list below)

 

3. Are you involved in a Connect Group ?      

 

4. Are you interested in being involved in a Connect Group ?  

 

5. Are interested in receiving more information of the opportunities to serve ?  

 

6. Are there any specific areas you are interested in ?  (please indicate below)

 Privacy Statement : The primary purpose of collecting this information is to enable the Church to provide ministry services.  This information will therefore only be disclosed to those who, in assisting the Church in its ministry functions, require such information.

 

Surname
Address
Suburb
Postcode
HomePhone
Firstname
Birthdate
Mobile
Email
Attend
Firstnamesp
Birthdatesp
Mobilesp
Emailsp
Attendsp
Firstname1
Birthdate1
Mobile1
Email1
Attend1
Level
Firstname2
Birthdate2
Mobile2
Email2
Attend2
Level2
Firstname3
Birthdate3
Mobile3
Email3
Attend3
Level3
Firstname4
Birthdate4
Mobile4
Email4
Attend4
Level4
Firstname5
Birthdate5
Mobile5
Email5
Attend5
Level5
Firstname6
Birthdate6
Mobile6
Email6
Attend6
Level6
Member
Moreinfo
Ministries
Connect
Connectmore
Serve
Areas