Personal Details
First Name
*
Last Name
*
Date of Birth
*
School Grade
-- None --
Nursery/Pre-school
Kindergarten
Prep
1
2
3
4
5
6
7
8
9
10
11
12
Contact Details
Mobile Number
*
Email Address
*
Home Address
Home Address
Home City
Home State
Home Post Code
Mailing Address
Mailing Address
Mailing City
Mailing State
Mailing Postcode
Medical Information
Please write 'none' or N/A if you don't have any medical requirements.
Allergies
Food Requirements
Medical Condition
More Details
Marital Status
Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Anniversary
Emergency Contact Name
Emergency Contact Relationship
Do you give permission for The Rock to take and share photos of you?
Yes
No
Occupation
Emergency Contact Number
My Faith Journey
Have you made a decision to follow Jesus?
Yes
No
Date of Decision
Location of Decision
When did you start at The Rock?
Baptism Date
Baptism Location
My Committent
My Faith
I am responding and choosing to follow Jesus Christ as my Leader and Saviour. To walk in daily union with Him. To learn from Him and practice His teachings.
Date of Commitment
*
My Church
I am committed to The Rock as my home and will partner in accomplishing its God-given mission and values.
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