FORMS

Enrolment (see Rules 1(2), (7) and (12) and 7(3) and (5))

Form 1

APPLICATION FOR ENROLMENT ON THE CHURCH ELECTORAL ROLL OF THE PARISH OF:
……………………………………………………………………………………………………………………………………….

Full Name ………………………………………………………………………………………………………………….

Preferred title (if any) ……………………………………………………………………………………………………

Postal Address ……………………………………………………………………………………………………………

Postcode ……………………………………………………………………………………………………………………

Email address (optional) ………………………………………………………………………………………………..

I declare that –

1 I am baptised, am a lay person and am aged 16 or over (or become 16* on …………………………………………………………………………………………………………………………)

**2A. I am a member of the Church of England or of a Church in communion with the Church of England and am resident in the parish.

OR

2B. 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] [and would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because. …………………………………………..]***.

OR

2C. 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] [and would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because …………………………………………..]***.

I declare that the above answers are true and I apply for inclusion on the Church Electoral Roll of the parish.

Signed ………………………………………………… Date ………………………………………………

Notes

*A person who is going to become 16 during the next 12 months may complete this Form, and will then be eligible to have his or her name entered on the Roll on his or her 16th birthday.

**Tick only one of 2A, 2B and 2C.

***If you tick 2B or 2C in circumstances where a new Roll is being prepared, you must delete either the first set of words in square brackets or the second set. If you delete the first set, you must complete the second set by filling in the space at the end. See Note 3 for further information.