Loading
Update of Information Form
Please fill in the following form to update your personal information.
In this form, under your key contact information there is a box to tick to indicate which information you are happy to have shared in our Church Directory.
You have an option to allow your contact details (email address, home phone, cell phone and/or home address) to be included in the Church Directory. Check the box directly below the appropriate field to allow this to happen.
If there is more than one person who lives at your address, please click the "add another" button to enter the information relevant to them.
Please fill in the interactive form below, and select submit when you have finished.
Key Contact Information
Your name
*
Title
First name
Last name
Email address
*
Show on directory ?
Home phone
Show on directory ?
Cell phone
Show on directory ?
Date of Birth
Click on the calendar picture to select your birthdate
Emergency Contact Phone
*
Emergency Contact Name
*
Medically Vulnerable to COVID-19
If you are over the age of 70, or have a medical condition that makes you more susceptible please indicate this here.
No
Yes
Economically Vulnerable - COVID 19
If your employment is likely to be affected, please indicate this here.
No
Yes
Keeping Connected
Would you like to join a small group/house church?
Please arrange for me to join a Small Group (Home Church)
We will get in touch with you if you indicate yes and arrange a Small Group (Home Church) for you to join.
No
Yes
If there is a group above you would particularly like to join please write which one here. This may not always be possible dependent on group numbers however we will also be setting up new groups.
Have you signed up for Diocesean News - Movement online?
We encourage everyone to connect to this, it is a key information channel and allow us to connect together through Sunday worship online. Visit www.movementonline.org.nz and click on the tab for sign up near the top of the screen.
No
Yes
Do you recieve our Karori Anglican newsletter via email?
*
Please sign up to at
https://www.karorianglican.org.nz/news/
Scroll to the bottom and fill in your information in the subscribe section
No
Yes
Do you have family or friends based in Karori/your suburb to support you?
No
Yes
+ Add another
- Remove
Your address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Show on directory ?
Please check the highlighted fields
✔
✘