All Saints Leavesden Electoral Roll
Belong, Participate, Contribute. This is the application for a place on the electoral roll of All Saints Leavesden. If you would like further information about the roll or our use and storage of data please contact office@allsaintslife.com
Title *
Your answer
Surname *
Your answer
First and Middle Names *
Your answer
Full Address *
Your answer
Post Code *
Your answer
Email Address
Your answer
Telephone
Your answer
I declare that *
Date of Birth
MM
/
DD
/
YYYY
I declare that I am *
GDPR The information supplied on this form will be retained on a database and will be used for the purposes of administration of church record and communication. It may be used for the purposes of advertising future events and promoting the Church and not disclosed to any third parties. By ticking this box I consent to this and to receive emails regarding events and initiatives in the life of the church *
Ethnic Monitoring
Submit
Never submit passwords through Google Forms.
This form was created inside of All Saints Church Leavesden.