Parish membership connection form • Anglican Parish of Waterloo Bay

First Name *

Preferred Name

Last Name *

Street Address *

Suburb *

Postcode *

Phone Number

Mobile Number

Email Address

Date of Birth

Anniversary

I attend, or would like to attend

7.15am Sunday service at St George's church - Traditional service

9am Sunday service at St George's church - Family service

9.30am Sunday service at St James' church - Traditional service

Friendship service St George's 3rd Thursday each month 10am

8.30am Wednesday morning prayer service at St George's church

I would like information on

I am aged 16yrs or older; or under 16 years *

I have a prayer request

I would like to be added to the parish mailing list

By submitting this form, I consent to my personal information being collected, used, disclosed, and stored in accordance with the Privacy Collection Statement here (https://www.waterloobay.anglicanchurchsq.org.au/general-privacy-collection-statement) *

Yes

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Parish Membership Form