Registration Form2017

Your Details / First Person / Spouse/Partner
Title
First Name
Middle Name
Last Name
Marital Status
(please underline) / Single/ Married/ Divorced/ Partnership/ Separated/ Widow/ Widower / Single/ Married/ Divorced/ Partnership/ Separated/ Widow/ Widower
Birthday (dd/mm/yyyy)
Religion
Approx year you came to parish
If recently, which parish did you come from?
Email Address
Mobile phone number
Where You Live / Your Church (please underline)
House Name/ Number
Street / Christ The Redeemer
Town / City
County and Post Code / St Thomas More
Home Telephone
Children who live at home (including school boarders)
1st Child’s Name(s) / Date of Birth / __/__/____
Sacraments received / Baptism __/__/____ 1st HC __/__/____ Confirmation __/__/____
School
2ndChild’s Name(s) / Date of Birth / __/__/____
Sacraments received / Baptism __/__/____ 1st HC __/__/____ Confirmation __/__/____
School
3rdChild’s Name(s) / Date of Birth / __/__/____
Sacraments received / Baptism __/__/____ 1st HC __/__/____ Confirmation __/__/____
School
4thChild’s Name(s) / Date of Birth / __/__/____
Sacraments received / Baptism __/__/____ 1st HC __/__/____ Confirmation __/__/____
School
Other people who live with you and attend church
Title
First Name
Middle Name
Last Name
Marital Status
(please underline) / Single/ Married/ Divorced/ Partnership/ Separated/ Widow/ Widower / Single/ Married/ Divorced/ Partnership/ Separated/ Widow/ Widower
Birthday (dd/mm/yyyy) / __/__/____ / __/__/____
Religion
Email Address
Mobile phone number
Can we help you?
Would you like a visit from a member of the parish? / Yes/ No
Would you like a visit from a member of the parish clergy? / Yes/ No
Would you like more information about any of our groups and events? (See list below)
Baptism
Courses for all those whose children are being baptised into the Catholic Church. / Yes/ No
First Holy Communion
Courses for all those whose children are receiving FHC. / Yes/ No
Confirmation
Programme for all those being confirmed. / Yes/ No
Youth Group
Events and activities for children in school years 4-10. / Yes/ No
Marriage and Family Life
A resource for those looking to deepen and improve their marriage and family life. / Yes/ No
RCIA (Rite of Christian Initiation for Adults)
Programme for non-Catholic adults seeking to learn more about the Catholic Church. / Yes/ No
Care Group
Support for those who are sick or housebound. / Yes/ No
Ministers for the Sick
Communion to the homes of those who are sick or housebound. / Yes/ No
Music and Choirs
Group developing music and singing in Church. / Yes/ No
Justice & Peace
Group strengthening the contribution of the Parish to wider justice and peace. / Yes/ No
Small Groups
Discussion groups for anyone wanting to learn more about their Catholic faith. / Yes/ No
Prayer Group
Reflection and prayer on specific issues in a welcoming, intimate environment. / Yes/ No
Exposition of the Blessed Sacrament
Peace, prayer and meditation with Jesus in the Blessed Sacrament. / Yes/ No
Bramley Parish Lunches.
Monthly lunches open to all. / Yes/ No
CAMEO
A social group for women of the parish with monthly events. / Yes/ No
More about you, your skills and interests
What is your profession?
What particular interests or hobbies do you enjoy?
What particular skills do you have?
What Ministries or other roles do you perform in the parish?
Do you have a valid CRB clearance for the parish? / Yes/ No

Data Protection Act 1984. Amended 1998

This information helps the parish in its work in the community, to provide a better service to its parishioners and to realise its objectives. The information will be held securely in locked filing cabinets, and where it is held on computer it will be password protected. Access to the information will be restricted to the parish priest and lay people authorised by him. It is intended to renew this information every five years. We will use this information to contact you only with regard to parish activities.

Please sign below your consent to the parish processing the information given.

Signature______Date______

Admin/templates/Census Form Rev Information Entered: _____/_____/______