Join the electoral roll

Join the Electoral Roll

Application for enrolment on the church electoral roll of the Parish

Title & Full Name

Full Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

Which church do you attend?

I declare that (Please tick both of these if you belong to these two catergories)

I am baptized, and am aged 16 or over

I am a member of the Church of England (or of a Church in communion with the Church of England) and am resident in the parish.

I am a member of the Church of England (or of a Church in communion with the Church of England) and, not being resident in the parish, I have habitually attended public worship in the parish during the period of six months prior to enrolment.

I am a member in good standing of a Church (not in communion with the Church of England) which subscribes to the doctrine of the Holy Trinity and also declare myself to be a member of the Church of England and I have habitually attended public worship in the parish during the period of six months prior to enrolment.

I declare that the above answers are true, and I apply for inclusion on the Church Electoral Roll of the Parish

Please Sign and Date below

Data Protection - Your name and address details will be used for the purpose of maintaining the Electoral Roll. This information is open to the public inspection under Rule 1(1) of the Church Representation Rules and will be subject to publication in the church in accordance with Rule 2(3). If you do provide details of your email address and/or telephone number these will be used by the Electoral Roll Officer to contact you on matters concerning the parish's electoral roll and church membership.