Parish Membership Form

INFORMATION SHEET FOR PARISH ROLE

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[contact-form][contact-field label=’FAMILY NAME’ type=’name’/][contact-field label=’Title’ type=’select’ options=’Mr,Mrs,Ms,Miss,Dr,Rev’/][contact-field label=’First Name’ type=’name’ required=’1’/][contact-field label=’Preferred Name’ type=’name’/][contact-field label=’Work Number:’ type=’text’/][contact-field label=’Home Number:’ type=’text’/][contact-field label=’Cell Number:’ type=’text’/][contact-field label=’Date of Birth’ type=’text’/][contact-field label=’Baptised?’ type=’select’ options=’Yes,No’/][contact-field label=’Baptism Date:’ type=’text’/][contact-field label=’Confirmed?’ type=’select’ options=’Yes,No’/][contact-field label=’Maritial Status:’ type=’text’/][contact-field label=’Wedding anniversary:’ type=’text’/][contact-field label=’ADDRESS’ type=’textarea’ required=’1’/][contact-field label=’Postal Address’ type=’textarea’ required=’1’/][contact-field label=’Physical Address’ type=’textarea’/]

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CHILDREN: at school or college, living at the same address & are members of the same Parish

FULL NAMES:

[contact-field label=’1.’ type=’name’/][contact-field label=’2.’ type=’name’/][contact-field label=’3.’ type=’name’/][contact-field label=’4.’ type=’name’/][contact-field label=’5.’ type=’name’/]

DATE OF BIRTH:

[contact-field label=’1.’ type=’name’/][contact-field label=’2.’ type=’name’/][contact-field label=’3.’ type=’name’/][contact-field label=’4.’ type=’name’/][contact-field label=’5.’ type=’name’/]

BAPTISM DATE:

[contact-field label=’1.’ type=’name’/][contact-field label=’2.’ type=’name’/][contact-field label=’3.’ type=’name’/][contact-field label=’4.’ type=’name’/][contact-field label=’5.’ type=’name’/]

ADMITTED TO COMMUNION (Tick the checkbox if so):

[contact-field label=’1.’ type=’checkbox’/][contact-field label=’2.’ type=’checkbox’/][contact-field label=’3.’ type=’checkbox’/][contact-field label=’4.’ type=’checkbox’/][contact-field label=’5.’ type=’checkbox’/]

CONFIRMED (Tick the checkbox if so):

[contact-field label=’1.’ type=’checkbox’/][contact-field label=’2.’ type=’checkbox’/][contact-field label=’3.’ type=’checkbox’/][contact-field label=’4.’ type=’checkbox’/][contact-field label=’5.’ type=’checkbox’/]

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CONTACT NAME IN CASE OF EMERGENCY:

[contact-field label=’Name’ type=’name’/][contact-field label=’Relationship’ type=’text’/][contact-field label=’Contact Number:’ type=’text’/][contact-field label=’Address:’ type=’textarea’/]

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[contact-field label=’Previous Church / Parish:’ type=’text’/][contact-field label=’Previous Church Involvement:’ type=’text’/][/contact-form]