<p> Church of the Holy Name – Registration 2018 If you take part regularly or occasionally in Mass at Holy Name, please complete this form – one per household – and place it in the box at the back of the Church. The information you provide will be seen only by the Parish Priest and by administration and ministry coordinators.</p><p>(Please print) Your name: Address:</p><p>Email address: Telephone: Mobile:</p><p>Please list below your own name and everyone living in your household (continue overleaf if you run out of space)</p><p>Age Band – please tick Religious Full Name Denomination 0 - 18 19 - 30 31 – 45 46 - 60 61 - 75 76 +</p><p>1</p><p>2</p><p>3</p><p>4</p><p>5</p><p>6</p><p>Next of Kin (people to be called in an emergency) </p><p>Name: Contact number:</p><p>Name: Contact number:</p><p>Please turn over </p><p>If you can help with any of the following ministries or activities in our parish, please tick your choice(s) – all are welcome to take part Sacramental/Liturgical Pastoral Social Admin/General Altar Server APF Red Box Appeal Afternoon Tea Banking Team Club Catechist – Baptism Ecumenical Activities Art Galleries Buildings & Club Maintenance Catechist – Confirmation Faith Enquiry Book Club Church Cleaning Catechist – First Communion Justice & Peace Drama Group Counting Team Children’s Liturgy Scripture Group Hospitality Finance Committee Choir Visiting the Housebound Keep Fit Club General Administration Decoration & Flower Arranging Language Gift Aid Courses Administration Eucharistic Minister Outings/Trips Grounds & Gardening Liturgy Group Poetry Club Newsletter Marriage Preparation Social Activities Odd Jobs in the Hall Music Theatre and Parish Council Concert Club Reader Travel Club Piety Shop Welcoming Walking Group Rota Preparation Wine Club Web Site Maintenance Women’s Group Youth Activities Other (please suggest below) Other (please suggest below) Other (please Other (please suggest below) suggest below)</p><p> continued from first page</p><p>Full Name Age Band – please tick 0 - 18 19 - 30 31 – 45 46 - 60 61 - 75 76 +</p><p>7</p><p>8</p><p>9</p>