NPAC New Membership Form

Welcome to North Pine Anglican. We are glad that you would like to belong to our church.

Our mission is to put Jesus at the centre of lives and communities. By becoming a member of our church we encourage you to

commit to regular worship at our services, and join in the fellowship afterwards;
go deeper in your relationship with Jesus, through daily prayer and Bible reading, and joining a Growth Group/Bible Study to explore the Bible further;
with prayer and guidance, find opportunities to serve in ministry. (We are happy to help you with this.)

Your details will be added to the North Pine Anglican database.

One of the main ways of communicating what is happening in our church is by our weekly E-News email. We will add your name and email to this list.

Your information may be accessed by NPAC clergy and staff, and where appropriate, relevant information passed on to ministry leaders so as to help you connect with our church community.

Your details will not be given or used for any other purpose than contact and information within the North Pine Anglican Church.

Please be sure to read and agree to the Parish Collection Notice at the bottom of this form.

Personal Details

Last Name *

First Name *

Title *

Tip: (Mr, Mrs, Miss, Dr, etc)

Email Address *

Phone Number

Mobile Number

Date of Birth

Marital Status

Anniversary (if applicable)

Occupation

Spouse name (if applicable)

Spouse's Title *

Tip: (Mr, Mrs, Miss, Dr, etc)

Spouse's date of birth (if applicable)

Spouse's email address (if applicable)

Spouse's mobile number (if applicable)

Addresses

Home Address *

Home Suburb *

Home Postcode *

Mailing Address (if different from Home address)

Mailing Suburb

Mailing Postcode

Dependent Children (if applicable)

Child 1 name

Child 1 gender

Child 1 date of birth

Child 1 school grade

Child 2 name

Child 2 gender

Child 2 date of birth

Child 2 school grade

Child 3 name

Child 3 gender

Child 3 date of birth

Child 3 school grade

For additional children, please include similar details here

Are you happy for us to recognise your birthday/s in our weekly E-News?

Are you happy for us to recognise your anniversary (where applicable) in our weekly E-news?

Which Service do you mostly attend?

Photographs or videos may be taken from time to time during services or activities. Do you give permission for these to be used for NPAC promotional purposes - website; social media; printed material?

We'd love to connect with you and help you . . .

Select one or more options for the following questions

What can we help you with . . .

We have many groups and activities at NPAC. Would you like information on any of the following?

Would you like to chat about ways you can serve in our church? Let us know any areas you are interested in . . .

Parish Collection Notice

The Anglican Parish of North Pine collects personal information, including sensitive information, about parishioners, volunteers and their families for the building of a ministering community and for the proper administration of the Parish.
The primary purpose of collecting information is to allow the Parish to exercise its functions and activities and ultimately to enable you to participate in the ministering, pastoral and practical services of the Parish.
The Parish collects, uses, holds and discloses personal information in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs).
If the Parish does not obtain personal information from you, it may not be possible for you to participate in certain of the practical and pastoral services offered by the Parish.
Personal Information may be disclosed to others for administrative purposes including The Corporation of The Synod of The Diocese of Brisbane (Diocese).
You may seek to access information collected about you by contacting the General Manager of the Diocese. Access to personal information is dealt with in accordance with the Dioceses Privacy Policy located at the following link - https://www.anglicanchurchsq.org.au/privacy
You may seek to have personal information corrected. Correction of personal information is dealt with in accordance with the Dioceses Privacy Policy.
You may make a complaint in accordance with the Dioceses Privacy Policy if you believe the Parish has breached the APPs.

I consent to the collection, use and disclosure of my personal information in accordance with the Parish Collection Notice and the Diocese's Privacy Policy. *