Gender *
Select… Male Female
Marital status *
Select… Single Married Widowed De facto Divorced Seperated
Ethnicity *
Select… NZ European Maori Pacific Island Asian Indian South American African Middle Eastern Other European
Baptism by immersion date
Approximate
Reason for joining MCBC *
Select… I'm new to faith and want to learn more Searching for a church to join Visited with friends/other family members and decided to stay Attended a course/event held at MCBC
Medical info
This will help staff keep you safe at any church events
Emergency contact *
Someone we can contact on your behalf in case of emergency: Their name, phone number and relationship to you
Media Consent *
Photo and media information of church activities are published for live-streaming, social media, and promotional purposes. If you do not consent to photo/video content of you or would like specific content of you/your household removed, you can request this by contacting admin@citybaptist.org.nz
Household members
If they're also signing up to belong to MCBC
+ Add adult + Add child Submit