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Parish Census Form

This form is for one person only who is 13 years or older. It needs to be endorsed by a parents for those 13-18 years. This form can be completed for somebody else with their agreement.

What is your first name?

What is your surname?

Your title?

Prefer to be known as?

Your address?

Postcode?

Your phone number?

Your email address?

Please check any appropriate box

Housebound and would like communion at home

To be informed about preparation for Confirmation

If UK taxpayer and like to find out about the Gift Aid Scheme

New to the parish and would like the priest to visit you

New to the parish and would like parishioner to visit you

Any ways in which you could offer talents/skills to parish life?

You may contact the parish office to request a copy of your information at any time. You may also request that all or part be deleted. A link to the Diocesan Data Protection Guidelines can be found on the Parish Website.

Signed:

Signature

Date:

Signed by parent for a child (13-18yrs)

Signature

Your children under the age of 13 years

Name Child?

Known as?

Please check any appropriate box.

This child has made First Communion

This child has been Confirmed

Please give the child's email address if you allow us to send and email about relevant activities in the parish and copy to you.

Is there anything you would like us to bear in mind for the benefit of this child? Please enter helpful information here

Please add further children by completing another form. When a child reaches the age of 13 their data will be deleted and an invitation sent to register as a person of 13 years and older. This new registration will need to be endorsed by a parent until the age of 18 years. Information provided on this form, together with all other personal data held about these individuals by the Parish and Catholic Diocese of Portsmouth is processed in accordance with the Diocese's Privacy Notice.

Many thanks for submitting this form. Fr Peter Hollins (Parish Priest)