St Mary's Mt Albert Parish Roll
We are currently updating our Parish Roll and we appreciate you taking the time to complete this questionnaire so we can keep it as accurate as possible. We appreciate many of you have been parishioners for many years however it would be helpful if we could have more up to date information. All information is strictly confidential and for Parish use only.

Not all questions are mandatory and mandatory questions are indicated by an asterix. This should only take about 5 minutes to complete.

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Surname *
Name *
Anyone over the age of 18. If there are 2 or more family names please include with first name
Address *
Contact Number
Both home and mobile if applicable. Add the names associated with each mobile number
Email Address
Postal Address (If different to home address)
Occupation
Would you like to join our "Planned Giving" Scheme *
First Names and birthdates of Children eg. Mary (6), Joseph (12),
Anyone under 18 years of age. Also include surname if different to main family name
Please select which Ministries you would be available for. Please tick
I would like more information on:
Comments or Feedback
Can you suggest ways by which we can collectively build a better paish life here at St Mary's?
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