Join our Electoral Roll

Preparation of a new Electoral Roll

Every six years each parish is required to prepare a new electoral roll.

Parish of St Mary The Virgin, Holy Island

Application for Enrolment on the Church Electoral Roll

Preferred Title *

Forenames *

Last name *

Address *

Postcode *

Email address

I declare that I am baptised, am a lay person, *

and am aged 16 or over

and become 16 on

Those who become 16 in the next twelve months may complete the form and become eligible to be entered on the roll on their sixteenth birthday.

I declare that *

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.

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.

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 and would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because (enter reason below)

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.

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 would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because (enter reason below)

Reason:

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

Signed *

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