Please provide details for all required fields. Complete the details on this form if you desire to make CityLife Church your church home and become a Partner (voluntary, committed member) of CityLife Church Inc. Note: the form should be completed by each individual applicant.

First Name *

Last Name *

Gender *

Street Address *

Suburb *

Postcode *

Date of Birth

Marital Status

Home Phone

Work Phone

Mobile Phone

Email Address *

Where do you regularly attend CityLife Church? *

1. I have received Jesus Christ as my personal Saviour & Lord. *

2. I have been baptised as a believer by full immersion in water. *

3. I have been baptised in the Holy Spirit with the evidence of speaking in tongues. *

4. I give a tithe (10%) of my income to CityLife Church.

5. I am in a Life Group.

6. I have read the Constitution of CityLife Church Inc.

7. I have been present for all Track 1 & Track 2 sessions (LifeTracks) *

8. I have read and I agree with the CityLife Church Partnership Agreement.

9. Previous Church Name (if applicable):

10. Please specify below if you have any comments or qualifications to any of the answers above:

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