Membership Form 2024 • Anglican Church Noosa

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 and will apply for ALL members of your family.

Thank you.

Personal Details

Last Name *

First Name *

Preferred Name

Email Address

Mobile Number

Phone Number

Tip: (For a landline number)

Date of Birth

Marital Status

Anniversary (if applicable)

Locations

Tewantin

Sunshine

Peregian

Home Comm [own Home/Aged Care]

Tip: Which congregation you attend

Occupation

Addresses

Home Address

Suburb

Home Postcode

Mailing Address (if different from above)

Suburb

Mailing Postcode

Family

Do you have more family members to add?

Spouse/Partner Details

Spouse/Partner Name

Spouse/Partner Mobile

Spouse/Partner Email

Date of Birth

Spouse/Partner Occupation

Special Dietary Needs or other notes

Tip: Please give clear details (with name/s) for each family member with allergies and/or dietary requirements

Children Details

Child 1 Name

Child 1 Date of Birth

Child 1 Gender

Child 1 School Grade

Child 2 Name

Child 2 Date of Birth

Child 2 Gender

Child 2 School Grade

Child 3 Name

Child 3 Date of Birth

Child 3 Gender

Child 3 School Grade

Similar details for other children [if needed]

School/s Attended

Tip: Please indicate each child's name and their school.

Additional information

Allergies

Tip: Please advise particular allergies your children may have (with names for clarity)

Other information about your children it is important for us to know

Additional Information

How might we help you?

Would you like information about giving to Noosa Anglican?

Ministries/Groups you may like to join

Serving ministries you would like to enquire about

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

Permissions

Filling in this Form entitles you to receive complimentary ACN Name Tag/s using your preferred name listed above. Please indicate your requirements, including whether pin or magnet, below...

Yes please, for adult/s

Yes please, for adult/s and children

Pin type

Magnet type

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? (if applicable)

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 online Church Directory (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