The Marriage Box has a cost of $10 per person. Payment can be made by PayPal (Visa or Mastercard) which will be processed after submitting this form. You can also pay by eftpos (available Sundays at Connectpoint) or cash. This must be completed at Connectpoint before the start of the group.

Changepoint is committed to fulfilling its obligations under the Privacy Act 1993. The information is being collected for the purpose of enabling you to participate in the life and activities of Changepoint.

The intended recipients of this information are the staff, and approved volunteers of Changepoint. You have right of access to, and correction of, personal information supplied to, and held, by Changepoint. Please contact us if you have any questions.

By submitting this form, you hereby agree to the above terms and conditions

Please tick the box below once you have read and agreed with the Health & Safety Document outlined in our website.