Care Card

CONNECT FORM

Because of what Jesus has done for each of us at the cross. We believe that every person should feel genuinely loved, accepted and able to belong to a family .. the family of God.

We would love you to take a moment to fill out some of your details, so we can keep in touch, and also know how can best journey with you in your walk with God.
We believe God has amazing plans for your life, and we are so excited to be on the journey with you. Blessings in Jesus name. Ps Tony & Michelle Peak
(Please note, that all information is strictly confidential, and is only for pastoral purposes at Abundant Life Centre Busselton.)

Family Name *

First Name *

Mobile Phone Number *

Spouses Family Name (if different) *

Spouses First Name *

Spouses Mobile Phone Number *

Occupation *

Email *

Spouses Occupation *

Spouses Email *

Residential Address *

Postal Address (if different) *

Date of Birth (or birthday) *

Hobbies / Interests (list as many as you like) *

Have you received Jesus? *

You and the Holy Spirit *

Water Baptism date (if applicable) *

Spouses Date of Birth (or birthday) *

Spouses Hobbies / Interests *

Has your spouse received Jesus? *

Your spouse and the Holy Spirit *

Spouses Water Baptism date (if applicable) *

CHILDREN

First Child Name (under 18) *

First Child Date of Birth *

First Child Hobbies / Interests *

First Child - Spiritual Life *

Second Child Name (under 18) *

Second Child Date of Birth *

Second Child Hobbies / Interests *

Second Child - Spiritual Life *

Third Child Name (under 18) *

Third Child Date of Birth *

Third Child Hobbies / Interests *

Third Child - Spiritual Life *

Fourth Child Name (under 18) *

Fourth Child Date of Birth *

Fourth Child Hobbies / Interests *

Fourth Child - Spiritual Life *

LIFE GROUPS & DISCIPLESHIP GROUPS

Life Groups are intended for fun, fellowship, and encouragement. They typically meet in a neutral place (eg coffee shop, cafe etc) on a fortnightly basis for an hour or so. There is usually a short video teaching (with head-phones), aimed at empowering people to overcome specific life issues from a Biblical perspective.

Discipleship Groups are intentional accountability groups - limited to 2-3 people (of the same gender), intent on becoming devoted followers of Christ, and pursuing the heartbeat and vision of Abundant Life Centre. The groups centre around 3 main elements - Scripture, Accountability & Prayer.

Would you be interested in joining either a Life Group or a Discipleship Group? *

Would your spouse be interested in joining either a Life Group or a Discipleship Group? *

SERVING OPPORTUNITIES

How have you been able to serve God in the past? (previous churches, market place, work etc) List as much as you like. *

How has your spouse been able to serve God in the past? (previous churches, market place, work etc) List as much as you like. *

How could you see yourself serving God now and in the future? *

How could your spouse see themselves serving God now and in the future? *

Other ways not listed above, or anything else you would like to add. *

Thankyou so much for taking the time to fill this out. We are looking forward to journeying with you. God bless.
Please ensure to press the SUBMIT button.

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​​CONNECT FORM

CHILDREN

LIFE GROUPS & DISCIPLESHIP GROUPS

SERVING OPPORTUNITIES

CONNECT FORM