ON-LINE APPLICATION FOR ENROLMENT ON THE CHURCH ELECTORAL ROLL

Parish of St Chad, Ladybarn


Full name:*
Full Address:
Postcode:
Telephone number:
Mobile number:
email address:
I am baptized and am aged 16 or over :*
Yes
No
I am baptized and will shortly become 16:
Yes
No
Date of 16th birthday:
Please tick one of the following:*
I am a member of the Church of England (or of a Church in communion with the Church of England) and am a resident in the parish.
I am a member of the Church of England (or 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 above named parish.:*
Yes
No
Please enter the verification number on the right:*
six five five seven seven
* Required Fields

Church electoral roll, 2013 -
Webpage icon Church electoral roll, 2013 -