Your Details

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It's great to be able to connect - just fill in your details below

First Name

Last Name

Address

Mobile Phone (add landline if applicable too)

Birthday

Baptised as a believer? Y/N( Approx date or year)

Any other members of your household attending church with you and their details (or fill out a separate form)

Anything else? Dietry, areas you would like to be involved in, like a pastoral visit etc

Please submit a photo of yourself or your household

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I agree to being added to NBC weekly email and that my details are available to the church community. I understand that photos are taken from time to time by NBC and I have no objection to their use by NBC. Any variation on this, I have set out in the "anything else" comments box above and we will undertake to do what is requested with your information. Thanks!

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