CiC Membership Form

CONSENT:

Privacy and Data Protection

We value your privacy and are committed to protecting your personal information. Please read the following carefully to understand how we collect, use and protect your data.

Consent to Collect and Use Personal Data

By completing this form, you agree to allow Christian Impact Centre Church to collect, store and process your personal information in accordance with our Privacy Policy. This information will be used solely for the purposes of managing your membership and providing you with relevant updates and services.

First Name *

Middle Name

Preferred Name

Last Name *

Home Address *

Suburb *

Postcode *

Country

Mobile Number *

Email Address

Date of Birth

Gender

Marital Status

Do you have children?

Names and Dates of Birth of Children *

How long have you been fellowshipping at CiC? *

Have you attended the "Welcome to CiC" session? *

Have you accepted Jesus Christ as your Lord and saviour? *

Month and Year: *

Have you been baptised by immersion? *

Month and Year: *

In what areas of ministry are you interested in participating?