Communication Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Communication Form

Kensington Eastlakes Anglican Church

Your Name (First Name, Last Name) *

Your Phone Number *

Your Email *

Your Address

What Sunday service do you normally attend? *

9am Sunday at Eastlakes

10:30am Sunday at Kensington

Other:

Do you have a question or would you like to leave a comment for Adam and our ministry team?

Would you like to pass on a prayer request to Adam and members of our ministry team?

How long have you attended our church?

Less than 6 months

6-24 months

2-5 years

5-10 years

More than 10 years

Clear selection

Are you interested in attending our next Alpha Course?(Alpha is a 6 session course that explains the foundations of the Christian faith and gives participants opportunities to ask questions).

Yes I am interested. Please give me the details.

I might be interested. Please give me the details.

I am not interested / available at the moment.

I have already done Alpha.

Other:

Clear selection

Are you interested in joining one of our midweek Growth Groups?

I am already part of a Growth Group.

I am interested and I would like to speak to someone about it.

I am not interested at the moment.

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms