To maintain our church records, we would appreciate a moment of your time to complete this form.

Privacy Statement : The primary purpose of collecting this information is to enable the Church to provide ministry services.  This information will therefore only be disclosed to those who, in assisting the Church in its ministry functions, require such information.

 

Directory Update Form/files/Pics/$General/PenCC logo green.jpg

(Note :  Please use the 'TAB' key to move to the next field in the form below.  By using the 'Enter' key, you will actually submit the form)

Surname (Family Name) :

Address :

Suburb :       Postcode :

Home Telephone :

 

  Person First Name     Birth Date   Mobile Phone   Email Address Does this person attend PenCC     School Year Level
  YOU                  
  Spouse                  
  Dependant Child 1                  
  Dependant Child 2                  
 Dependant Child 3            
 Dependant Child 4            
 Dependant Child 5            
 Dependant Child 6            

 

Are you a Member or Partner of PenCC :    I would like to know more about this :

What Ministries are you currently involved in :  Eg.  Sunday Services / Children's / Youth / Peninsula Christian Care / Alpha / Women's / Men's / Creative Ministry / Connect Leader etc..

Are you involved in a Connect Group ?       Are you interested in being involved in a Connect Group ?  

Are interested in receiving more information of the opportunities to serve ?  

Are there any specific areas you are interested in ?