Parish Records Survey

The Parish of St Anthony and St Mark - Parish Records Survey

Please complete this form with details of all members of your household.
Please insert the name of the person completing this form

First NameLast Name
Please insert the email address that should be used if we need to contact you about the contents of this form.
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Family Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Telephone Number

Area CodePhone Number
IN KEEPING WITH THE DATA PROTECTION ACT, ANY INFORMATION YOU SUPPLY WILL BE USED FOR PARISH RECORDS AND WILL NOT BE DIVULGED OR SOLD TO ANY OTHER PARTY.

Please provide details of everyone living in your household

Are you a member of one of these Groups/Ministries? (You can add more than one name in each box).

Rows	If yes please provide your name	If no please provide your name if you are interested in joining
Ministers of Welcome
Reader
Eucharistic Minister
Children's Liturgy
Finance Team
Fabric Team
RCIA
Media Group
Ongoing Formation Group

If you have any comments on the form or if you are a member of some other Group or Ministry that you would suggest be added to the list please enter your comments below.
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The Parish of St Anthony and St Mark - Parish Records Survey