Contact Information Form

If you do not actively attend CityLife Church, but want to receive our weekly newsletter email, then please click here to subscribe.

If you consider CityLife Church to be your home church, then please complete and submit the form below. The details that you provide will enable us to know how/where to contact you and will assist us in providing pastoral care and in managing involvement in church ministries. View a full version of our Privacy Policy.



  First Name Surname Gender Birthdate Is CityLife your home church? LifeGroup leader's name Kinder or School Year Level
You  
Spouse  
Dependent Child 1
Dependent Child 2
Dependent Child 3
Dependent Child 4
Dependent Child 5
Dependent Child 6

Address/Suburb: Postcode:
Home Phone:
Marital Status: Date Married:
Previous Church:
Date you began regularly attending CityLife Church:
Which congregation do you primarily attend?                    

  Your Details Your Spouse's Details (if married)
Occupation
Organisation / Institution
Country of Origin
Mobile Phone
Business Phone
E-Mail Address

I/we do NOT want to receive the following emails:    

Children's Information / Medical:

Is there any information, medical or otherwise, which would help the Children's ministry in working with your child?

Additional Comments: