title

In order to assist us to keep up to date information about regular Eastlake attendees, please will you kindly take the time to complete the following details. Having current, valid details enables us to communicate news, upcoming events, rosters etc in an efficient, timely and cost effective way.


Date: / /


Adult 1:

Title: Last Name:

Given Names:

D.O.B: / /
E-Mail:

Telephone: Mobile:

Address:
P/Code:

Postal Address (if different):
P/Code:


Adult 2:

Title: Last Name:

Given Names:

D.O.B: / /
E-Mail:

Mobile:


Children (Under 18 years of age):

Name:
D.O.B: / /

Name:
D.O.B: / /

Name:
D.O.B: / /

Name:
D.O.B: / /


Privacy Statement:

In accordance with Australian privacy laws, your personal information WILL NOT be handed out - it will be kept on the Eastlake Church database and accessed by authorised Eastlake personnel only.




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shedyouth

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