Halesowen Worshipper Record

Worshipper Record

Please complete the following information so that the parish records can be updated.
All parishioners are asked to help us keep our records up to date. If you are new to this parish either because you have moved into the area, or simply prefer to come to Mass here please complete this form so that we know who you are and what needs you may have. Thank you.

Main Contact

* Indicates required field

Title *

First name *

Last name *

Address 1 *

Address 2 *

Address 3 *

Town/City *

County *

Post code *

Email address *

Home phone *

Mobile phone *

Mass preferred on? *

Other members in household

Spouse/partner title *

Spouse/partner first name *

Spouse/partner last name *

Children of school age

Child 1 name *

Child 1 age *

Child 1 school attending *

Child 2 name *

Child 2 age *

Child 2 school attending *

Child 3 name *

Child 3 age *

Child 3 school attending *

Child 4 name *

Child 4 age *

Child 4 school attending *

Other persons in your househhold

Other person 1 name *

Other person 1 relationship *

Other person 2 name *

Other person 2 relationship *

Please indicate any member of your household who is sick or elderly and would like to be visited or receive Holy Communion at home

Sick or elderly 1 name *

Sick or elderly 2 name *

Sick or elderly 3 name *

Would you like to join the Gift Aid Scheme? *

Yes No

Would you like to donate by: *

Envelope Standing Order

Would you like further information on: *

Joining the Gift Aid scheme Becoming a regular donor Leaving a legacy

Please indicate if you or any member of your family are interested in joining:

Altar Servers' Team *

Catholic Men's Society *

Children's Liturgy *

Church Cleaning Team *

Church Maintenance Team *

Counting Team *

Flower Arranging Team *

The Choir *

Team of Readers *

Sunday Coffee Rota *

St Vincent de Paul Society Parish Group *

Is there any other information that you consider relevant

Relevant information *

Data protection agreement

Please read the following statements below and tick to confirm. I'm afraid that we cannnot process the details on this form without such confirmation. Thank you.

I confirm that all individuals whose information has been provided on this form have agreed for it to be provided to the Parish *

Tick to confirm

I confirm that everyone whose email address has been provided on this form agrees to being contacted by email by the Parish *

Tick to confirm

Data Protection Policy
The parish is committed to ensuring that information we hold about you and your family is properly held in accordance with the law. The Parish is part of the Archdiocese of Birmingham. You can find out more from our Privacy Notice, which is available at https://www.birminghamdiocese.org.uk/privacy-policy.

The information which you have provided on this form is necessary in the legitimate interests of the church.
Some of the information which you have provided on this form is special category data as it relates to religion or health. It is necessary for this to be held as part of the legitimate activities of the church. In both cases the information is needed, as the Parish Priest needs to know who his parishioners are, and what sacraments they have received, and whether they are housebound so as to be able to minister to them effectively. The other information requested will help the Parish Priest to minister to different groups of parishioners. Information which you provide will be kept for so long as you remain in the Parish, or if sooner until you ask us to delete it. You can update it at any time by writing to the Parish Priest or emailing: [email protected]
The information which you provide will be kept securely and only the Parish Priest and parish staff/volunteers authorised by him will have access to it. The information provided by you on this form will not be shared with any third parties other than as required by law. Gift aid information will be shared and retained only as required by law.

Thank you for helping us to keep our records up to date.

Submit Form

OUR LADY AND ST KENELM, HALESOWEN

Worshipper Record