Brisbane - Connect Short Form • Citipointe Church

WELCOME TO CITIPOINTE BRISBANE - YOU BELONG HERE!

This form is for you to provide us with your details for our database so we can keep in contact with you.

Personal Information

First Name *

Last Name *

Gender

Mobile Number *

Email Address *

Suburb *

Date of Birth

Please tick the one that is most applicable to you: *

Are you filling in this form to be added to a Lifegroup you are attending? *

Yes

Please let us know the name of your Lifegroup leaders:

Do you attend Citipointe Church Brisbane?

Yes

PRIVACY POLICY

Citipointe Church considers any information you share with us to be private. Looking after your personal information is something we value as an organisation and we hope you feel confident that any information you share with us will be looked after and safely used. For more information about our privacy practices please visit our website at citipointechurch.com/privacypolicy.