Electoral Roll

If you are not already on the electoral roll but would like to be, please complete the form below. This allows you to vote in the annual church meeting.

If you have trouble with the online form, you can download a paper copy here - Paper copy.

Full Name

First Name

Last Name

Preferred title (if any)

Full address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration 1 - Select A or B

A - I am baptised, am a lay person and am aged 16 or over B - I am baptised, am a lay person and become 16 within the next 12 months

Declaration 2 - Select A, B or C

A - 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. B - I am a member of the Church of England or of a Church in communion with the Church of England, am not resident in the parish, [but have habitually attended public worship in the parish during the preceding six months (or would have habitually attended public worship in the parish during the preceding six months but was prevented from doing because of the reason given below...) C - I am a member in good standing of a Church which is not in communion with the Church of England but subscribes to the doctrine of the Holy Trinity, am also a member of the Church of England and have habitually attended public worship in the parish during the preceding six months (or would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because of the reason given below...)

If you chose 2B or 2C and need to give more information, please do so here.

Final declaration

I declare that the above answers are true and I apply for inclusion on the church electoral roll of the parish.