Parish Registration Form

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PARISH REGISTRATION
Please complete and press Submit

FIRST ADULT

* Indicates required field

Name *

First

Last

Choose One *

Male Femaie

Date of Birth *

Nationality *

Religion *

Marital Status *

Occupation *

Which Mass do you usually attend? *

Date Joined Parish *

1st LIne of Address *

Town *

County *

Postcode *

Home Telephone Number *

Mobile Number *

Email *

Would you like to receive the newsletter by email? *

SECOND ADULT

Name *

First

Last

Choose One *

Male Femaie

Date of Birth *

Nationality *

Religion *

Marital Status *

Occupation *

Which Mass do you usually attend? *

Date Joined Parish *

1st Line of Address *

Town *

County *

Postcode *

Home Telephone Number *

Mobile Number *

Email *

Would you like to receive the newsletter by email? *

CHILDREN UNDER 18

Name *

First

Last

Choose One *

Male Female

Date of Birth *

School *

Name *

First

Last

Select One *

Date of Birth *

School *

Name *

First

Last

Select One *

Date of Birth *

School *

Name *

First

Last

Select One *

Date of Birth *

School *

Name *

First

Last

Select One *

Date of Birth *

School *

OTHER FAMILY MEMBERS LIVING WITH YOU

Name *

First

Last

Select One *

Date of Birth *

Relationship to You *

Name *

First

Last

Select One *

Date of Birth *

Relationship to You *

WHAT ARE YOU GOOD AT? Choose any of the following that interest you or those in your family

Choose Any *

Altar Servers Altar Linen Baptism Preparation Brass Cleaning Children's Liturgy

Choose Any *

Choirs and Musicians Church Cleaning Church/Grounds Upkeep Confirmation Finance

Choose Any *

First Holy Communion Hospitality Journey of Faith (RCIA) Minister of the Altar (Flowers) Minister of the Eucharist

Choose Any *

Minister of the Word (Reader) Parish Pastoral Council Visit Sick and Housebound Welcoming Youth Group

Would you be interested in Planned Giving? (Weekly Envelopes, Standing Order, Gift Aid) *

Yes, please send me more details No thank you

Submit

CATHOLIC PARISH OF ST JOSEPH & ST MARGARET CLITHEROW
St Joseph’s Church. 39 Braccan Walk, Bracknell, Berkshire, RG12 1BE (Directions)
Tel: 01344 425729
Email: stjb@portsmouthdiocese.org.uk

South Berkshire Pastoral Area

The parish is part of the Diocese of Portsmouth.
Portsmouth Roman Catholic Diocesan Trust registered charity 246871

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