Alpha Table Host Expression of Interest

First Name *

Last Name *

Email Address *

Phone Number

Mobile Number

Date of Birth *

Tip: Applicable if volunteering to be table host)

Please list any dietary requirements or allergies

Will you be able to commit to the whole event?

Nexus Kids

Nexus Youth

Nexus Women

Nexus Creative

Tip: Runs for 8 weeks from Feb 5th to Mar 26th, including the Alpha Saturday on March 8th.

Names & year level of children attending

Please confirm the children you are bringing are in the Prep to Year 6 level.

Yes

No

Previous Leadership/Facilitatoin Experience

How long have you been saved?

Are you a spirit filled Christian?

Yes

No

Are you a bible believing Christian?

Yes

No

Do you believe in the gift of tongues?