New Person Information • Mayfield Baptist Church

Welcome to Mayfield Baptist Church

Please provide your details so we can stay in touch and let you know what is happening at church and in our ministries.

Is this person the primary contact? *

Is this family member an adult or child? *

Family Name *

First Name *

Preferred Name

Previous Name/s (If applicable)

Date of Birth

Gender

Phone Number *

Email Address *

Address

City

State

Postcode

Ministry Involvement

Are there any ministries you would like to receive information about? *

Consent for details to be added to database *

Tip: We will store your details in accordance with the Recordkeeping section of our Safe Church Policy which can be found on our website: https://www.mayfieldbaptist.com/policies-and-procedures.html

Child Information and Parental Consent

Consent to contact Parent/Carer by:

Phone

SMS

None

School Grade *

Consent for photo/videos of child to be used in newsletters, brochures, promotional media, Facebook (closed group) etc: *

Kids Club Only

Soccer Only

Church Only

Yes

Tip: Names will not be used

Consent to travel to offsite activites advertised as part of term program: *

May travel offsite by:

Car

Bus

On foot

Are there any allergies, dietary requirements physical needs or medical issues we should be aware of?

Allergies

Dietary Restrictions

Medical issues/physical needs to be aware of

Information Form Completed By: *

Information Form Signed *

Tip: By completing tis section you agree the above information is true and correct

Emergency Contact Information

Name of Emergency Contact *

Phone (emergency Contact) *

Relationship to the child *

Feedback

Tip: Please add anything you would like us to know about your experiences with our services and ministries

Thank you for providing this important information. We will store your details in accordance with the Recordkeeping section of our Safe Church Policy which can be found on our website with our other Policies and Procedures: https://www.mayfieldbaptist.com/forms