Church Electoral Roll Application Form

Purse Caundle, Stalbridge, Stock with Kings Stag, and Stourton Caundle

Please print this form and return it as advised at the end of the form.

Application for Enrolment on the Church Electoral Roll of

the Parish of _______________________________________

Full Name: _______________________________________________

Full Address: _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Post Code: _______________________________________________

I declare that:

1. I am baptised and am aged 16 or over [or, become 16 on _____________ ]

2. [Tick one only of 2A, B or C]

____ 2A I am a member of the Church of England (or of a Church in communion with the Church of England) and am resident in the parish.

____ 2B I am a member of the Church of England (or of 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.

____ 2C I am 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.

I declare that the above answers are true and I apply for inclusion on the Church Electoral Roll of the parish of the above named parish.

Signed: ____________________________ Date: ____________________

Please bring this form to your parish church at a Sunday service

or

post it to:

The Church Electoral Roll Officer
c/o The Rectory
Church Hill
Stalbridge
Sturminster Newton
DT10 2LR

It is not possible for this form to be returned electronically – your actual signature is required.

Thank you.