Update My Details
Welcome!
Please help us to keep in touch - fill in the form below to update your details
in our database
What service are you attending:
*
AM Service
PM Service
Youth (The Valley - Friday Nights)
Online (Youtube)
Other
First Name
*
Last Name
*
Email Address
*
Mobile Number
*
Permission to take Photo/Video for NVBC Purposes
*
Yes
No
Mailing Address
Mailing City
Mailing Postcode
Date of Birth
To help us care for you, do you have an Dietary/Medical needs that you would like to let us know about?
Is there anything else you'd like to tell us or ask us about?
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