Connect Card

Please fill in your details first, then add any additional family members who will also attend Connect Church Adelaide

First Name *

Last Name *

Date of Birth

Gender *

Marital Status

Anniversary

Mobile Number

Email Address

Address

State

Suburb

Postcode

Reason for filling in Connect Card today *

I would like to take the Next Step by:

How Did You Hear About Connect Church Adelaide?

Please complete for each child you enter.

School Grade (if applicable)

Do you consent for your child to be photographed or filmed

Yes

Tip: Photography and film is used for promotional purposes on Connect Church social media, website and video clips.

Medical Information

Tip: Please complete if there is anything we need to be aware of for your child, eg allergies etc.