Parish Electoral Roll Application Form 2026

If St Mary's is your church and where you would belong, sign up using the form below. If you signed up last year (2025), you do not need to sign up again. Your name will remain on the roll until it is revised in 2031.

Your name *

Email address *

Preferred Title *

Please write your full address *

Postcode

Phone number

Mobile phone number

I give permission for my email address to be used in connection with the electoral roll.

Yes

Please select ONE of the following *

I am baptised, am a lay person, and am aged 16 or over

I am baptised, am a lay person and become 16 within the next 12 months

Please select ONE of the following

I am a member of the CofE (or of a Church in communion with the CofE) and am a resident in the parish.

I am a member of the CofE or of a Church in communion with the CofE, am not resident in the parish, [but have habitually attended public worship in the parish during the preceding 6 months]

I am a member in good standing of a Church which is not in communion with the CofE but subscribes to the doctrine of the Holy Trinity, am also a member of the CofE [and have habitually attended public worship in the parish during the preceding 6 months]

I am a member of the CofE or of a Church in communion with the CofE, am not resident in the parish but have not been able to attend worship in the last six months

If you have not been able to worship in the Parish for the last six months but would like to be included on the electoral roll, please briefly state the reason

I declare that the above answers are true and I apply for inclusion on the church electoral roll of the parish. *

Please write your name below.

Notes to the Form (Part 1)

General matters
1   The only Churches at present in communion with the Church of England are other Anglican Churches and certain foreign Churches, as listed in the Supplementary Material to the Canons (but note Rule 83(3) of the Church Representation Rules, which provides for any question as to whether a particular Church is in communion with the Church of England to be decided by the Archbishops of Canterbury and York acting jointly).
2   Membership of the electoral roll is also open to members in good standing of a Church not in communion with the Church of England which subscribes to the doctrine of the Holy Trinity where those members are also prepared to declare themselves to be members of the Church of England.
3   Every six years a new roll is prepared and those on the previous roll are informed so that they can reapply. If you are not resident in the parish but were on the roll as a habitual worshipper and have been prevented by illness or other sufficient cause from worshipping for the past six months, you should complete the additional question, briefly stating the reason you have been unable to attend worship
4   If you have any problems with this Form, please approach the clergy or lay people responsible for the parish, who will be pleased to help you.
5   In this Form ‘parish’ means ecclesiastical parish.

Notes to the Form (Part 2)

Use of email addresses and other personal data
6   The form requires that we collect an email address. Please notify us if you would prefer that we did not contact you by email. If you consent, the Parochial Church Council and the electoral roll officer are entitled to use that email address to communicate with you in connection with the maintenance or revision of the Roll or the preparation of a new Roll or with elections to or membership of the Council.
7   The Church Representation Rules impose certain requirements for your name and address to be given to a third party, such as the diocesan electoral registration officer, in connection with elections to or membership of a deanery synod, diocesan synod or the House of Laity of the General Synod. If you provide an email address on this Form, it will be given to the third party along with your postal address.
8   A third party to whom your name and address have been given under the Church Representation Rules is in certain cases required by the Rules to pass them on to another person, such as the presiding officer in a synodical election. If you provide an email address on this Form, that email address will be given to the other person along with your postal address.
9   Any person to whom your email address or other personal data is given under the Church Representation Rules is required by those Rules to hold the data securely. Furthermore, if you do provide an email address on this Form, that does not give anybody the right to use it for any purpose other than those permitted by the Rules; so it cannot, for example, be used for social matters or fund-raising.
10 The roll is published after each annual revision and after the preparation of a new roll. The published roll will include your name (as well as the name of every other person on the roll) but none of your other personal data (as defined by the Data Protection Act 2018) will be made public as a result of your inclusion on the roll.

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