Electoral Roll Form.

Please use this form to join our electoral roll form for the first time. Please note that your information will only be used for electoral roll purposes and in accordance iwith our privacy policy which you can see jhere

You can also see more informaation about which Churches are in communion with the Church of England and how electoral roll information.is handed here.

Use A Church Near you to check if your address is within our Parish

Your First Name *

Your Family name *

Your preferred title (if any)

Address Line 1 *

Address Line 2

Post Code *

`Email address - this is optional but will help us contact you if there are any queries

Declaration. I declare that I am baptised, am a lay person and am aged 16 or over *

Yes

Declaration. if you have ticked no above, please say on which date you will become 16

Declaration Please tick one of the following *

if you have ticked C above please say why you have been unable to attend church.

Signature. Electronic signatures are accepted *

Date *

* Required Fields