New member
Contact Details
Please fill out your information below. All of your information will be kept strictly confidential. We will only use the information to better help you stay informed and connected with our church.
Your Details
Connect Group Leader's Name (if applicable)
Salutation
Mr
Miss
Ms
Mrs
Dr
Ps
Hon
First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
Marital Status
Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Email Address
Phone Number
Mobile Number
Mailing Address
Mailing Address Line 2
Mailing Suburb
Mailing State
Mailing Postcode
Your Partner's Details (if applicable)
Partner's First Name
Partner's Last Name
Partner's Date of Birth
Partner's Mobile Number
Partner's Email
My Partner is Attending ACF Church
Yes
No
Partner Relation
Children's Details (if applicable)
Please complete only for dependent children living with you.
Child 1
Child's Name
Child's Date of Birth
Gender
Male
Female
Current School Grade (if applicable)
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Child's Mobile Number
Child's Email
Child 2
Child's Name
Child's Date of Birth
Gender
Male
Female
Current School Grade (if applicable)
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Child's Mobile Number
Child's Email
Child 3
Child's Name
Child's Date of Birth
Gender
Male
Female
Current School Grade (if applicable)
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Child's Mobile Number
Child's Email
Child 4
Child's Name
Child's Date of Birth
Gender
Male
Female
Current School Grade (if applicable)
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Child's Mobile Number
Child's Email
Child 5
Child's Name
Child's Date of Birth
Gender
Male
Female
Current School Grade (if applicable)
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Child's Mobile Number
Child's Email
Submit