Connect Card

Personal Details

We invite you to complete the following form to help us get to know you better, and also to help our church and various ministry areas serve you better.

Date of First Visit *

Tip: Usually Today's date

First Name *

Preferred Name

Last Name *

Gender *

Date of Birth *

Have you attended a service at Berwick Church of Christ before? *

Yes

Yes, Online only

Would you like more information, please select one or more of the following:

I am interested in attending a Church Service

I would like to know more about joining a Life Group

I would like to know more about Alpha/Search to Find course

I would like to be baptised

I would like someone to call me

Contact Details

Mobile Number *

Email Address *

Home Address

Home City

Home Postcode

Would you like to join a Life Group?

Are you interested in joining a Life Group? *

Yes

If you are interested in joining a Life Group, please complete the following.

Is there someone's group you want to join? Please provide the Life Group Leader's name.

Please select which day(s) you are available to attend a Life Group.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Tip: Select as many options as you like.

What time would you prefer?

Daytime

Evening

Tip: Please select both - if you available at either time.

What type of group would you prefer?

Any Group

Singles

Couples

Families

Women's

Men's

Other

Tip: Select as many options as you like.

Please provide details *

Once you submit this form, you will be contacted by our Life Group Coordinator.

Please allow at least 7 days to receive contact.