Church Directory

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 *

Month *

Year (Please type) *

Gender *

Adult/Minor *

Position In Family *

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

I want to be added to the church directory

Family Member 1

adult 3

Adult 2

adult 4