Life Group: Registration • Clayton Church

Please complete this form and one of our team will get back to you as soon as possible.

One person per form please.

First Name

Last Name

Preferred Name

Legal Name

Email Address

Home Phone Number

Mobile Number

Gender

Date of Birth

Suburb

Home Postcode

If you have children, please specify names and date of birth.

Life Group Preference

Youth

Tertiary Age

Young Working Adults (Approx 21-30)

Adults

Is there anyone at Clayton Church whom you already have a connection with? If so please provide details.

Is there anything else that you would like us to know?

Thank you for filling out this form. If you have concerns about the information that Clayton Church collects and how it is used, please refer to our website http://www.claytonchurch.org.au/policies/