Attendee Details

To be completed by BE Church Attendees aged over 18. Information collected is for BE Church use only. Some details may be used to create a church directory with your agreement at the end of the form. Refer to BE Church Privacy Statement for more detail.

Family Name *

A name to group your immediate family

First (Given} Name *

Middle Name(s)

Optional Field - Useful where Multiple people have same first and last name

Last Name

If different from your family name.

Email *

Mobile Phone Number

Home Phone Number

Street Address *

Number and Street Name

Suburb/Town/Village *

STATE *

Post Code *

Do you have a spouse/partner ?

You can enter their details as well

Spouse/Partner's First (Given) Name *

Spouse/Partner's Middle Name(s)

Optional Field - Useful where Multiple people have same first and last name

Spouse/Partner's Last Name If different to Family Name.

Spouse/Partner Email

How many children Under 18 are living with you. *

Include all those who live in the household or attend church with you and are under 18 years of age.

Child 1 First (Given} Name *

Child 1 Middle Name(s)

Child 1's Last Name If different to Family Name.

If Child 1 is attending school please indicate which school and year

Child 2 First (Given} Name *

Child 2 Middle Name(s)

Child 2 Last Name If different to Family Name.

If Child 2 is attending school please indicate which school and year

Child 3 First (Given} Name *

Child 3 Middle Name(s)

Child 3 Last Name If different to Family Name.

If Child 3 is attending school please indicate which school and year

Child 4 First (Given} Name *

Child 4 Middle Name(s)

Child 4 Last Name If different to Family Name.

If Child 4 is attending school please indicate which school and year

Child 5 First (Given} Name *

Child 5 Middle Name(s)

Child 5 Last Name If different to Family Name.

If Child 5 is attending school please indicate which school and year

Child 6 First (Given} Name

Child 6 Middle Name(s)

Child 6 Last Name If different to Family Name.

If Child 6 is attending school please indicate which school and year

Do you agree to have name, address, phone and email included in the BE Church directory. *

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