Durban North Community Church
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Please fill in this form if you (and your family) would like to be added to the church directory (database). This information will be kept strictly confidential and will only be used to help our church staff connect more effectively with you.
* There is space to fill in information up to 8 family members. If you have less people in your family, only fill in those fields that apply to you. If you have more people in your family, please fill in an additional form (submit your first form and then refresh the page).
Family Member 1
Name & Surname
*
First
Last
Birthday
Day
*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Year (Please type)
*
Gender
*
Choose One
Male
Female
Adult/Minor
*
Choose One
Adult
Minor (<18 Years)
Position In Family
*
Choose One
Grandparent
Parent
Adult Child
Minor
Not Applicable
School & Grade (if applicable) (e.g. Chelsea Prep, Grade 4)
*
Contact Number
*
Email
*
Address
*
adult 3
Adult 2
Name & Surname
*
First
Last
adult 4
By filling in this form I consent to Durban North Community Church collecting my personal information for communication purposes. I understand that Durban North Community Church will comply with the POPI Act with regards to the collection and safeguarding of this information. Should I wish to withdraw this information, I will contact the church office at office@dncc.org.za
Please tick box
*
I Agree
Contact Number
*
Email Address
*
*
Indicates required field
Name & Surname
*
First
Last
Contact Number
*
Email Address
*
Submit
Home
Connect
Children's Ministry (0-13)
>
Add Your Child To Our Database
Youth Ministry (13-18)
Life Groups
Missions
@Tap Coffee Corner
@Tap Community Center
Community UPLift
About us
Staff
What we Believe
Sermons
Resources
Bible Reading Plans
Family Devotionals
Life Group/Home Bible Study Material
Contact Us