Connect Form • Disciples Church Springfield

Thanks for clicking on our Connect Form. We are encouraged that you want to get to know us a little more.

First Name *

Preferred Name

Last Name *

Mobile Number

Email Address

Home City

Home Postcode

Marital Status

What is your spouse's first name?

Spouse's phone and email (if applicable)

If you have children who attend with you, please tell us their name, date of birth and school grade

Describe the status of your faith

Have you been baptised?

Briefly, tell us about the history of your involvement in church

If you are transferring from another church, what is the name of that church?

What are you particularly looking for in a new church?

What would you say are your biggest needs right now?