Application for Enrolment on the Church Electoral Roll Please fill out this form to join the electoral roll. This will allow you to vote in the Annual Parochial Church Meeting (APCM) 30th April 2019. Parish: St MICHAEL AND ALL ANGELS BLACKHEATH PARK Full name (required): Email Address (required): Full address (required): Post code (required): I declare that 1. I am baptised, am a lay person and am aged 16 or over, or become 16 on: AND select one of these descriptions from the dropdown below - 2A, 2B or 2C : 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. 2A2B2C I declare that the above answers are true and I apply for inclusion on the Church Electoral Roll of the parish. Signed: Date: Those who become 16 during the next twelve months may complete the form and become eligible to be entered on the roll on their sixteenth birthday. --- Parish Communications – Optional As a member on the electoral roll or as an individual or family who are church members we would like to collect your contact information for pastoral or discipleship purposes; and to promote the activities and interests of the Church and charity, which constitutes processing under lawful basis of legitimate interests. If you are happy that we hold your contact details and let you know about upcoming events and activities, please complete: Phone number: Mobile Number (for text message): Please let us know your contact preferences by checking the relevant box: Email NoYes Phone NoYes Text message NoYes Post NoYes Social media NoYes In addition we would like your consent to contact you to provide information about church news, activities, events and fundraising requests: I would like to receive information about church activities, events, news and fundraising requests. NoYes For more information on how we process your data please see our privacy notice which is available on our website & church noticeboard.