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
First and Middle Names
I declare that
I am baptised, am a lay person, and am aged 16 or over
I am baptised, am a lay person, and become 16 with the next 12 months (please give DOB below)
Date of Birth
I declare that I am
a member of the Church of England (or of a Church in communion with the Church of England) and am a resident in the parish.
a member of the Church of England (or a Church in communion with the Church of England) and, not being resident in the parish, I have habitually attended public worship in the parish during the period of six months prior to enrolment.
a member in good standing of a Church (not in communion with the Church of England) which subscribes to the doctrine of the Holy Trinity and also declare myself to be a member of the Church of England and I have habitually attended public worship in the parish during the period of six months prior to enrolment.
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
I consent and I declare that the above answers are true and I apply for inclusion on the church electoral roll of the parish.
Mixed White / Black Caribbean
Mixed White / Asian
Mixed White / Black African
Prefer not say to say
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