CANTERBURY BAPTIST CHURCH DIRECTORY



SAMPLE BAPTIST CHURCH DIRECTORY

Our Church has a directory of current attenders and adherents to help us keep in touch with each other. If you would like to be included in the Directory when we next update, please fill in this form and return it to: ________. In the meantime we will advise the Church family of your details via the Newsletter.

In accordance with the Privacy Policy of the Baptist Union of Victoria any information contained in the directory will be used only for the ministry of this church and activities related to the church. The information will not be released to any organisations outside of this church. No “mass mailing”, by post or electronic mail, will be allowed without the express permission of the Pastoral Team or the Church Leadership.

Please sign here to indicate your agreement to include you or your family details in the Church Records.

Signature: ______________________________________ Date:____________

Personal

Surname ……………………………… First name …………………….. D.O.B. …./……/……..

Surname ……………………………… First name …………………….. D.O.B. …./……/……..

Children

Surname ……………………………… First name …………………….. D.O.B. …./……/……..

…………………………….. ………………………. …./……/……..

…………………………….. ………………………. …./……/……..

…………………………….. ………………………. …./……/……..

…………………………….. ………………………. …./……/……..

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Address ……………………………………………………………………………………………………………….

Post Code ………………..

PTO for telephone details

Phone

Name …………………………………………… Name ………………………………………………

[ ] Home ………………………………………… [ ] Home ………………………………………

[ ] Mobile ………………………………………. [ ] Mobile …………………………………….

[ ] E-mail ……………………………………… [ ] E-mail ……………………………………..

Phone

Name …………………………………………… Name ………………………………………………

[ ] Home ………………………………………… [ ] Home ………………………………………

[ ] Mobile ………………………………………. [ ] Mobile …………………………………….

[ ] E-mail ……………………………………… [ ] E-mail ……………………………………..

Phone

Name …………………………………………… Name ………………………………………………

[ ] Home ………………………………………… [ ] Home ………………………………………

[ ] Mobile ………………………………………. [ ] Mobile …………………………………….

[ ] E-mail ……………………………………… [ ] E-mail ……………………………………..

Phone

Name …………………………………………… Name ………………………………………………

[ ] Home ………………………………………… [ ] Home ………………………………………

[ ] Mobile ………………………………………. [ ] Mobile …………………………………….

[ ] E-mail ……………………………………… [ ] E-mail ……………………………………..

Phone

Name …………………………………………… Name ………………………………………………

[ ] Home ………………………………………… [ ] Home ………………………………………

[ ] Mobile ………………………………………. [ ] Mobile …………………………………….

[ ] E-mail ……………………………………… [ ] E-mail ……………………………………..

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