Belong - Church Registration • Unley Park Baptist

Update Your Details

Thanks for taking a moment to share your details.
This form helps us keep our records up to date and care for you well. You can choose what information you share.

Your Privacy

We respect your privacy and only use your information for church care and communication.

You can read our Privacy Policy for further information.

Basic Details

First Name *

Preferred Name (optional)

Last Name *

Email Address

Mobile Number (optional)

Who can we call on your behalf in an emergency? (name & phone number)

Communication

Optional Information

What stage of life is this person at?

Adults

18-21

22-30

31-40

41-60

61-79

80+

Youth

12-17

Children

Infants/Toddlers

Pre-school

Reception

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Culture

Indigenous

CALD

Please note that a separate Children & Youth Registration form will be sent to you. To best care for them, we require more detailed information.

Sex

Date of Birth

Street Address

Suburb

Post Code

Occupation

Permissions

May we use photos or videos of this person for church purposes? *

Yes Church Use Only (internal presentations, church services, closed church groups, printed materials inside church life)

Yes Public Media (UPBC website, social media, printed promotions)

Would you like this person included in our church directory? (available only to our church community)

Yes

By submitting this form, you're confirming the information is correct.

The action of submitting this completed form electronically takes the place of a signature. This sufficiently satisfies the electronic signature provisions set out in section 10 of the Electronic Transactions Act 1999 (ETA).