All in Connect Group Sign Up Form

FORTNIGHTLY, WEDNESDAY EVENINGs.

Term 2: 24 APRIL - 30 JUNE 2023 (4 weeks)

Term 3: TBA

6.45pm for a 7pm start (sharp). Night will finish no later than 9pm.

Name

First Name

Last Name

Date of Birth

Male

Female

Home Phone

(###)

###

####

Mobile

Residential Address

State

Postcode

Postal Address (if different from above)

Do you have a disability/impairment/long-term medical condition that may affect your studies?

If yes, please specify

Emergency Contact Name

Relationship to you

Address

Phone

Current church (if not attending Generations City)

Denomination

Minister's Name

Address

Are you involved in Ministry?

Yes

If yes, please provide details

All-In Connects will run at Generations City fortnightly on Wednesday evenings during term.

Online Access may be permitted for those unable to attend physically, with valid reason. Are you interested in All-In Connects online?

Yes

If yes, please explain your reason(s)

Media Release

hereby grant permission to Generations City, to use photographs and/or video of me in publications, news releases, online and in other communicaions related to the mission of Generations City.

I agree