Membership Registration Form

If you are, or would like to become, a member of St Michael's and you want to access the members-only areas of the St Michael's Church web site ("the Private Site"), please complete the following registration application form. By making this application, you are agreeing that you will keep any personal information that you may be able to access on the Private Site confidential to Church members and that you will only use it for Church purposes. This form is for adults and for children aged 13 or over. Parents of children under 13 should complete a paper form on their behalf (available in Church).

Name

Title:

* First Name:

* Last Name:

Address

Line 1:
Line 2:
Line 3:
Town: City:
County: State:
Postcode: Zip code:

* Main Email Address:

Alternative Email Address:

Send emails to:

Phone Numbers

Home:

country	area	number	ext.
		-

Mobile:

		-

Personal Details

Date of birth (under 18's only):

/ / (dd-mm-yyyy)

Gender:

Privacy Settings

Site members can see:

Consent

Application Information

If there is any additional information you want to provide, which might help us process your application more quickly, please add it here:

Please read our Privacy Policy to find out how we use this information.