Parishioner Registration Form

1
Full Name* This field is required.
Mr
Mr
Mrs
Miss
Ms
Dr
Fr
Sr
Prof
Other
Title
Preferred First Name
Surname / Family Name
2
Age range
18-25
26-40
41-60
61-75
76+
3
Postal Address* This field is required.
Street Address
Street Address Line 2
City
County
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.UK numbers only. Mobile: 07... | Landline: 020... (include area code)
UK mobile: begin with 07. Landline: include area code.
5
E-mail address* This field is required.
example@example.com
Confirm Email
6
Would you like to share details of an Emergency Contact?* This field is required.This is someone we can call in case you fall ill or need urgent assistance.
YESNO
7
Name of Contact
8
Phone Number* This field is required.UK numbers only. Mobile: 07... | Landline: 020... (include area code)
UK mobile: begin with 07. Landline: include area code.
9
How many people are in your household?
1
2
3
4
5
6
7
8
9
10
Would you like to tell us about other members of your household?
Yes
No, not now
11
Other household membersList names and brief notes about other household members.
12
If you have children, are they currently in education or working?Please select the best summary of their status below.
Primary School
Secondary School
University
Working
A combination of the above
At home
Not applicable / no children
13
Are you currently...* This field is required.
Please Select
Please Select
Attending Mass at Corpus Christi
New to the parish
Recently moved into the area
Returning to Church after some time away
Housebound
Temporarily unable to attend Mass
Registering on behalf of someone else
Other
14
Would you like the parish to contact you about a visit or Holy Communion at home?
YESNO
15
Occupation, profession or area of experience* This field is required.I.e. Secondary School RE teacher / Retired Midwife / Part-time Secretary
16
I am happy for the parish to contact me via ...* This field is required.You will not be added to a WhatsApp group and your phone number would remain invisible.
All details I've provided
Email
Telephone
Post
SMS
WhatsApp
I do not wish to be contacted
17
Would you be open to helping in parish life?
Yes, regularly
Yes, occasionally
Possibly - please contact me
Not at the moment
18
Which areas might you be interested in? Tick any that apply.Some parish roles require safer recruitment, references, training or DBS checks before ministry can begin.
Admin / Office help
Altar Server supervision
Bereavement support
Buildings / maintenance
Catechesis (teaching)
Children's liturgy
Church / Brass cleaning
Finance / bookkeeping
Fire Warden
Flower arranging
Fundraising / grants
Gardening
IT /website / social media
Music / singing
Professional skills
Reading at Mass
Social events
Teas & Coffees
Visiting the sick
Welcoming / stewarding
Youth or young adults
Other
19
Are there any skills, experience or interests you would like us to know about?
20
When are you generally available?
Weekdays daytime
Weekday evenings
Saturday
Sunday after Mass
Occasionally/as needed
Not sure
21
Would you like to support the parish by regular giving?* This field is required.If you would like to support the parish by regular giving, the parish can provide Standing Order details.
Yes - I would like to set up a Standing Order
I already give by Standing Order
I give by envelope/cash
Not at the moment
22
I understand that I need to set up a Standing Order separately.Help on how to do this can be found here: https://catholicbrixtonhill.org.uk/donate
I understand
23
If you are a UK taxpayer, Gift Aid allows the parish to claim an extra 25p for every £1 you give at no extra cost to you.
24
Are you a UK taxpayer and willing for the parish to claim Gift Aid on your donations?* This field is required.If you already give by Gift Aid, please tick "Yes" as completing another Gift Aid declaration may be beneficial for our records.
Yes
No
I'm not sure - please contact me
25
I want Corpus Christi, Brixton Hill to treat all qualifying donations I have made in the past four years, and all qualifying donations I make in the future, as Gift Aid donations until I notify the parish otherwise. I confirm that I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference. I will notify the parish if I cancel this declaration, change my name or home address, or no longer pay sufficient tax.
26
I confirm that I am the donor named above and agree to this Gift Aid Declaration* This field is required.
I agree
27
Is there anything you'd like the parish to know?
28
The information you provide will be used by Corpus Christi, Brixton Hill, as part of the Roman Catholic Archdiocese of Southwark, for parish administration, pastoral care, communication, and, where applicable, Gift Aid administration. We will store your information securely and retain it only for as long as necessary for these purposes, including any legal, financial, safeguarding, or canonical record-keeping requirements. When it is no longer required, it will be securely deleted or anonymised. We process personal data in accordance with UK data protection law and the Privacy Policy of the Roman Catholic Archdiocese of Southwark. You can read the full policy here: https://rcaos.org.uk/media/3afnxli2/privacy-statement-full-04-rcaos.pdf
29
I understand and agree that the parish may use my information for the purposes described above.* This field is required.
I confirm
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