Assumption Catholic Parish, Beeston

25, Foster Avenue, Beeston, Nottingham, NG9 1AE. Tel: 0115 922 1182

N.R.C.D.T. Registered Charity No 234064

Parish Registration Form

If you can, please save us time by completing this form online at www.theassumption.co.uk/register

Your Name and Contact Details Christian Name(s)*
Surname*
Phone
Mobile Phone
Email

Your Address Street Address*
Area (eg Beeston)
City/County
Post Code*

Your Consent

I confirm that I and all those named on this form consent to the storage of this data on the Parish Computer and/or paper records. The Parish will not provide this data to anyone else without specific consent.

Yes

If you do not consent, then do not complete the form - we won't be able to store your details anyway.

Your Signature

Other People living at Your Address

Person 1 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Person 2 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Person 3 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Person 4 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Person 5 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Person 6 Christian Name(s)
Surname
Date of Birth (if under 18) - dd/mm/yyyy / /
Relationship to You
Mobile Phone
Email

Thankyou for working through the form! Now please check your answers, and then click submit.

Now please check your answers, and then return the form to the Parish Office.

Assumption Catholic Parish, Beeston

Parish Registration Form

Other People living at Your Address

Please indicate if anyone in your household might like to keep in contact with the parish via:

Please indicate if anyone in your household can help with or needs any of the following: