Membership Registration

I want to join LifeConnect.Church

Please enter your details

Name *

First name

Last name

Address *

Address line 1

Address line 2

Town/Suburb

City

Postcode/Zip

Phone number *

Email address *

Confirm Email address

Preferred contact method *

Birthday

This information allows us to celebrate with members of our church family and will not be shared with any third party.

Wedding anniversary

Where applicable. This information allows us to celebrate with members of our church family and will not be shared with any third party.

Notes | Comments

Please register each member of your family, including children. You can achieve this by selecting "return to form" once you have clicked "register".

Information collected is treated as confidential under the Privacy Act 2020. Data is stored and secured by Infoodle. Their privacy policy is available at https://www.infoodle.com/privacy-policy