Brisbane - Families - 1. New Parent Connect Form (1 of 2) • Citipointe Church

PARENT CONNECT FORM

This form can be used for anyone in your family whose details you would like to give to us.

The first form is about you, the mum, dad, guardian or carer. Just hit 'another submission' if there is someone else in this capacity you'd like to add.

Parent / Carer / Guardian Details

Guardian #1 First Name *

Guardian #1 Last Name *

Guardian #1 Mobile Number *

Guardian #1 Email Address *

Date of Birth *

Marital Status

Suburb *

Guardian #2 First Name

Guardian #2 Last Name

Guardian #2 Mobile Number

Guardian #2 Email Address

Date of Birth

I/We are: *

Just Visiting (Eg. On Holidays)

New to Citipointe

A Citipointe Church Member

Visiting from another Citipointe Location

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.

Please click the 'Submit' button to proceed to the childrens page