Connect With DBC

How to use this form

Start by filling out the details for the Primary Contact in your family.
Click Add Another Family Member at the bottom of the form to add more people (eg. spouse)
Please also Add Another Family Member for children under 18, so we can link them to age-appropriate ministries.
Don't forget to hit Submit when you are finished to ensure it gets saved.

The information in this form will be placed in a database to be used as an information base for other ministry areas within our Church Family.

By filling out the following information you will be giving permission for the following particulars to be stored in Dalby Baptist Church database and entered in our church directory. If there is particular information that would normally be put in a directory that you do not want to be included, please make a note at the bottom of the form (eg. mobile number, email address).

If you have any concerns or questions regarding use and storage of this info please speak to our Pastors (Ph: 07 4662 3717).

Personal Details

First Name *

Preferred Name

Last Name *

Date of Birth *

Marital Status

Gender

Occupation

School Grade (if applicable)

Interested in getting involved in:

Contact Details

Home Address *

Home City *

Home Postcode *

Same Postal Address

Yes

Phone Number

Mobile Number

Email Address

Directory Opt-Out

New folk are automatically added to the Church Directory so others in the church are able to contact you. Some people also use the directory as a tool to pray for everyone in the church. A Church Directory is available to anyone whose details appear in the directory. Therefore, if you opt-out, you are ineligible to recieve a directory.

Would you like to be included in our Church Directory?

Church Directory *

Yes

Other Comments or Information

Comments

Date Submitted*