Contact information registration Step 1 of 425%This form may take approximately 5-10 minutes to complete. It allows us to have an accurate record of your details.PrefixMrMrsMissDrFirst nameLast nameDate of birthEmail Phone numberAddressAre you saved?YesNoPlease tell me moreNot sureAre you baptised?YesNoPlease tell me moreNot sureAre you a member?YesNoPlease tell me moreNot sureHow did you hear about the church?FlyerWebsiteStreet workFriend Do you have a partner?*YesNoFull namePhone numberDate of birthWho are they?HusbandWifeBoyfriend/GirlfriendFiance Do you want to add a child?*YesNoChild 1 - full nameChild 1 - DOBChild 1 - GenderMaleFemaleDo you want to add a second child?YesNoChild 2 - full nameChild 2 - DOBChild 2 - GenderMaleFemaleDo you want to add a third child?YesNoChild 3 - full nameChild 3 - DOBChild 3 - GenderMaleFemaleDo you want to add a fourth child?YesNoChild 4 - full nameChild 4 - DOBChild 4 - GenderMaleFemaleDo you want to add a fifth child?YesNoChild 5 - full nameChild 5 - DOBChild 5 - DOB What kind of extra ministries would you like our church to start implementing? More street work Nursing home Youth/kids meetings Scripture class Short foreign missions trips (visit missionaries) More mens/ladies meetings More fellowship (BBQ/games) This iframe contains the logic required to handle Ajax powered Gravity Forms.