Become a member

Membership registration

Fields marked * are required. Family details are optional and kept private.

First name

Other names (optional)

Surname

Date of birth

Gender

MaleFemale

Phone numbers are stored exactly as typed.

Primary phone number

Owner of phone

WhatsApp number (optional)

Telegram number (optional)

Are you a student or a worker?

StudentWorker

Name of school (optional)

Class / form / level (optional)

Day student or boarder (optional)

Year you joined the church (optional)

Who should staff contact about this teen if needed?

Name (optional)

Relationship to teen (optional)

Phone (optional)

Preferred contact method (optional)

Family details (optional)Show

Only administrators can see these details. Leave blank anything you prefer not to share.

Mother's name (optional)

Mother (optional)

Mother's primary phone (optional)

Mother's secondary phone (optional)

Mother's international phone (optional)

Father's name (optional)

Father (optional)

Father's primary phone (optional)

Father's secondary phone (optional)

Father's international phone (optional)

Parents' marital status (optional)

Who do you live with? (optional)

Who is responsible for your upkeep? (optional)

Name of parent, facilitator or young adult registering

Relationship to the teen

e.g. Self, Mother, Facilitator

Privacy notice

SAMPLE NOTICE – pending ministry approval. ICGC Calvary Temple Teen Chapel collects the details on this form to register the teen, take attendance, arrange classes and keep in touch with the family about Teen Chapel activities. Only authorised ministry staff can see these details. Family and care information is restricted to administrators. We do not sell or share this information. You may ask to see, correct or withdraw this information by speaking to Teen Chapel staff.

I give permission for Teen Chapel to store and use this registration information as described above. *Staff may contact the guardian / emergency contact about this teen when needed. (optional)I would like to receive optional Teen Chapel announcements. (optional)

Cancel

Membership registration

About the teen

Contact

School or work

Guardian or emergency contact

Who is registering, and permission