Membership Form

Please read ....

The Church is a miracle of God's grace. What a privilege to be part of it. Thank you for your desire and willingness to belong to the Anglican Church of Noosa.

Membership means commitment:

to the Body of Christ

to grow as a disciple of Christ

to ministry in Christ's name

Your details will be:

kept on the ACN database;

used to send you a weekly E-News, roster notifications and occasional other emails;

included in the ACN Member Directory available ONLY to other members - this only includes your name/s, phone number/s, email/s and home address. There is opportunity below to indicate if you would prefer for any of these details NOT to be visible to other Church members.

Your details will not be sold, given or used for any other purpose other than contact and information within the Church.

Please read the official 'Parish Collection Notice' at the end of this form. Saying 'Yes' to this equates to your official signing of this Form.

Thank you.

Personal Details

Last Name *

First Name *

Preferred Name

Email Address

Phone Number

Mobile Number

Date of Birth

Marital Status

Anniversary [if applicable]

Occupation

Spouse Name (if applicable)

Spouse Date of Birth [if applicable]

Spouse Email (if applicable)

Spouse Mobile (if applicable)

Please add similar details for other family members living with you [e.g. adult children] who would be associated with Noosa Anglican. NB Children's details are separate below.

Are you happy for us to recognise your Birthday/s in E-News?

Are you happy for your Anniversary to be recognised in E-News?

Locations

Tewantin

Sunshine

Peregian

Addresses

Home Address

Suburb

Home Postcode

Mailing Address

Suburb

Mailing Postcode

Dependent Children's Details [if applicable]

Child 1 Name

Child 1 Gender

Child 1 Date of Birth

Child 1 School Grade

Child 2 Name

Child 2 Gender

Child 2 Date of Birth

Child 2 School Grade

Child 3 Name

Child 3 Gender

Child 3 Date of Birth

Child 3 School Grade

School/s Attended

Similar details for other children [if needed]

Additional Information

How might we help you?

Would you like information about giving to Noosa Anglican?

Ministries you would like to know more about

Serving ministries you would like to enquire about

Tip: Please note many of these fields require additional screening, licensing or audition

Photos/videos MAY be taken from time to time. Do you give permission for those to be used for promotional purposes on our website or social media platforms?

Please select which details below you do NOT wish available to other members. Under the Privacy Act we need your permission to publish your contact details in our Church Directory (both in hard copy and an online version accessible only to members with a password).

Privacy Collection Notice

The Anglican Parish of Noosa collects personal information, including sensitive information, about parishioners, volunteers and their families for the building of a ministering community and for the proper administration of the Parish.
The primary purpose of collecting information is to allow the Parish to exercise its functions and activities and ultimately to enable you to participate in the ministering, pastoral and practical services of the Parish.  
The Parish collects, uses, holds and discloses personal information in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs).  
If the Parish does not obtain personal information from you, it may not be possible for you to participate in certain of the practical and pastoral services offered by the Parish.  
Personal Information may be disclosed to others for administrative purposes including The Corporation of The Synod of The Diocese of Brisbane (“Diocese”).  
You may seek to access information collected about you by contacting the General Manager of the Diocese. Access to personal information is dealt with in accordance with the Diocese’s Privacy Policy located at the following link – http://anglicanchurchsq.org.au/privacy-policy/  
You may seek to have personal information corrected. Correction of personal information is dealt with in accordance with the Diocese’s Privacy Policy.  
You may make a complaint in accordance with the Diocese’s Privacy Policy if you believe the Parish has breached the APPs.  
Regulations of the Anglican Church of Australia are that you cannot be a member of more than one parish at any given time for the purposes of being an Elector [able to vote at Annual Meetings].

I consent to the collection, use and disclosure of my personal information in accordance with this Parish Collection Notice and the Diocese's Privacy Policy. *

Date