Partnership Application Form - Local Family

This application form applies to Gauteng residence only.
PLEASE NOTE: Children over 16 years should complete their own application form.

Your name *

Email address *

Personal Information

Phone number *

Address *

Gender *

Birthday *

Pastoral Care District *

Family information

Household members

Other information:

If you are from another church, did you leave with their blessing? *

Yes

If yes, please supply us with the church information.

Date of Submission

I herewith understand that I will only become a partner once I have met with the leadership of Little Falls Christian Centre on a new partners evening of which the date will be communicated to me. *

I hereby give consent that Little Falls Christian Centre may give my contact detail to a leader in order for them to follow up on me. *

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