CONNECT FORM

Your Details:

First Name *

Last Name *

Date of Birth *

Gender *

I'm Interested in:

Making a decision to follow Jesus or finding out more

Join a Connect Group

Getting Water Baptised

Making Highway my Church Home

I'm updating my details

Other

I'm keen to join a team:

Welcome/Host

Creative/Production

Young Adults

Youth

Kids

Other

I've reached out today because:

Tip: Please let us know the reason for completing this Connect Form today.

I generally attend: *

Highway Church ORMEAU

Highway Church GILSTON

Highway Church ONLINE

Phone number

Mobile Number *

Email address

Email Address *

Address

Mailing Address *

Mailing City *

Mailing State *

Mailing Postcode *