New to the Parish: Please tell us a little about yourself

Family Name / Surname ^*

First name(s) of adults (over 18) resident at your address

- Name ^*

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Details of any dependants also resident at your address

- Name

DOB

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Address

Postcode

Home telephone ^*

Mobile telephone ^*

Email ^*

How were you involved in your last Parish?

How would you like to become involved in this Parish?

This information will be held on a computer for the purpose of Parish Administration.
If you do not wish to be contacted by the Parish area community groups please tick inside the box.
This Parish has a policy and procedure for the protection of children and vulnerable people.

Please send this electronically or print and hand in after Mass, or Post to the Office.

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