Change of details

Personal Information Details

Thankyou for being part of our church community and assisting us with your details. We truly appreciate your assistance with your personal details.
Please complete a separate form for each family member.
Please NOTE that * fields are mandatory.

Our Saviour Lutheran Church
32 Taylors Road West
Aberfoyle Park 5159

Ph 08 8270 4466
Email admin@oursaviourap.org.au

Full Name*

My name for Church directory?*

YesNo

Street Address

Suburb

Postcode

Address for Church directory?*

YesNo

Home Phone

Home Phone for Church directory?

YesNo

Mobile Number

Mobile No. for Church directory?

YesNo

Work Phone

Work phone for Church directory?

YesNo

Home Email Address*

Repeat Home Email Address*

Home Email address for Church directory?

YesNo

Work Email address

Work Email address for Church directory?

YesNo

Date of Birth

Birthday list for private members area?

YesNo

Father's Name

Mother's name

Marriage Date

Spouse name

Wedding Anniv. List for private member area?

YesNo

Names of Children and DOB: (if applicable)

Date of official Membership at Our Saviour Lutheran Church

If you have been Baptised, undertaken First communion or been confirmed please complete details below, to the best of your knowledge. Please complete a separate form for each family member.

Baptised where?

Baptism date:

Confirmed where?

Confirmation Date:

1st Communion where?

1st communion date:

Appropriate use of photos of myself/family for internal use eg promoting events

YesNo

Appropriate use of videos of myself/family for internal use eg promoting events

YesNo

Additional information

Please Note:

We also concur with all the details, not here stated, of the LCA Privacy Policy Statement posted on our Church Notice board.

Forms are also available from the Church Office.

Our Saviour Lutheran Church, Aberfoyle Park
32 Taylors Road West
Aberfoyle Park 5159

I agree