The Catholic Church in Jersey

Parishioner Registration Form for One Catholic Community

First adult (PLEASE COMPLETE FORM IN CAPITAL LETTERS)

Surname / Title-Mr/Mrs/Ms/Dr/Rev
Forenames
Surname at birth
Middle names
Also known as / Gender
Date of birth / Marital status
Nationality / Religion
Occupation / Primary Language
Work address
(if applicable)
Home Address /
Postcode
Home Tel. No. / Mob Tel. No.
Email (Home) / Have you subscribed to receive Newsletter by email?

Second adult (PLEASE COMPLETE FORM IN CAPITAL LETTERS)

Surname / Title-Mr/Mrs/Ms/Dr/Rev
Forenames
Surname at birth
Middle names
Also known as / Gender
Date of birth / Marital status
Nationality / Religion
Occupation / Primary Language
Work address
(if applicable)
Home Address /
Postcode
Home Tel. No. / Mob Tel. No.
Email (Home) / Have you subscribed to receive Newsletter by email?


Children in your household:

Name CHILD 1
Date of Birth / Gender
Baptised (Yes/No) / First Communion (Yes/No) / Confirmed (Yes/No) / Name of School:
Name CHILD 2
Date of Birth / Gender
Baptised (Yes/No) / First Communion (Yes/No) / Confirmed (Yes/No) / Name of School:
Name CHILD 3
Date of Birth / Gender
Baptised (Yes/No) / First Communion (Yes/No) / Confirmed (Yes/No) / Name of School:
Name CHILD 4
Date of Birth / Gender
Baptised (Yes/No) / First Communion (Yes/No) / Confirmed (Yes/No) / Name of School:

Please continue on a separate piece of paper if necessary

Other adults living with you at this address

Name / Relationship to you

Is there any other information you feel we need to know?

Which churches and Masses do you usually attend?

LAY MINISTRIES Please give name of the person who is involved in a lay ministry and where - for example: church, school, hospital, nursing home - with name of premises. If a member of the family wishes to be involved, please state clearly.

LAY MINISTRY / NAME of PERSON, NOW involved and WHERE this ministry is carried out / NAME of PERSON INTERESTED IN taking up ministry and WHERE
Reader
Catechist for Baptism
Catechist for Children’s Liturgy
Catechist for First Communion
Catechist for Confirmation
Catechist for Youth
Catechist for States School
Catechist for Marriage Preparation
Catechist for RCIA (Journey of Faith)
Extraordinary Minister of Holy Communion
Music - choir member? Instrumentalist?
Welcomer
Flower Arranger
Altar Server
Offertory
Sacristan (preparing church for Mass)
Adoration of the Blessed Sacrament
Cleaner
Member of the Guild of St Thomas
Active Supporter of CAFOD
Active Supporter of The Apostleship of the Sea
Member of the Catenians
Member of the Knights of St Columba
Member of the Catholic Women’s League

Please add any other ways you would like to contribute or are already volunteering in another capacity. If you have any skills which you could offer to the Catholic Church in Jersey such as Accounting, Sewing, DIY, Building, Architectural, Driving, Fund Raising etc. please write below. Thank you.

To help plan our Church Finances please indicate whether you are already participating, or if not, would like to receive further information about:

Finance / Name of person participating / Name of person who would like to receive information
Planned Giving
Covenants
500 Club
Standing Orders
Bequests to the Church
Living Our Faith

Thank you for your time in completing this form. Please return the form to your district office, marked for the attention of the Office Manager.

All information is treated in confidence. We comply with the Data Protection Act and no information will be passed to third parties without prior permission. By signing below, you agree that the above information can be entered in the Parish records. It will be used only to help with personal and pastoral care and the appropriate administration of the parish and diocese. Your personal information is protected by the Data Protection (Jersey) Law, 2005. As a part of the Roman Catholic Diocese of Portsmouth, the Catholic Church in Jersey is registered under this Law – Registration No 18607.

Print name
Signature / Date