Consent to attend a Parish Event

REGISTRATION FORM
Details of Main Householder
Title
Name

First Name(s)Surname
Date of Birth

DayMonthYear
Address Details for Main Householder
Property Number and Street Address

Town or Townland

Street Address Line 2

PostcodeState / Province
Contact Details for Main Householder
Landline Number
Please enter a valid landline number.
Mobile Number
Please enter a valid mobile number.
Email
Please enter a valid email address
Other People Living at this Address
Person No.1

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Person No.2

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Person No.3

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Person No.4

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Person No.5

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Person No.6

Relationship to HouseholderFirst Name(s)SurnameDoB e.g. x/xx/xx
Optional Donations
Tick as appropriate

I would like to receive Weekly Collection EnvelopesI pay tax and would like to make a Gift Aid to the Parish
Signature
Signature of Head of Household*

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Date Signed

MonthDayYear
Completed form will be sent to
Data Protection
This form will be held on file, in accordance with the Data Protection Act 2018, data protection policy of the Diocese of Down and Connor and the Privacy Notice of the Down & Connor Safeguarding Office , which can be found at:

http: /www.downandconnorsafeguarding.com/privacy-notice
The data entered will be used only for the purpose indicated on the form and will be held confidentially.

The data may only be accessed by those with responsibility for managing records or group activities and will not be shared with external organisations unless there is a need and a lawful reason to do so. The data will be updated when appropriate and destroyed when no longer necessary or relevant.
Should be Empty:

REGISTRATION FORM

Details of Main Householder

Address Details for Main Householder

Contact Details for Main Householder

Other People Living at this Address

Optional Donations

Signature

Data Protection