The Diocese of West Yorkshire and The Dales

Wakefield Resource Centre

Registration Form

By submitting this form you agree to the Diocese storing your personal details electronically.
These will not be passed to any third party.

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* 1. Title

Mrs

Miss

The Rev'd

Other (please specify)

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* 2. What is your last name?

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* 3. What is your first name?

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* 4. What is your house number, street and town?

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* 5. Postcode

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* 6. What is your telephone number?

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* 7. At what email address would you like to be contacted?

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* 8. Deanery: Anyone can use the centre but only those in orange can use the deanery delivery service (Huddersfield/Wakefield episcopal areas)

Almondbury

Allerton

Airedale

Armley

Barnsley

Birstall

Bowland

Bowling and Horton

Bradford North

Brighouse and Elland

Calder Valley

Dewsbury

Ewecross

Halifax

Harrogate

Headingley

Huddersfield

Ilkley

Keighley

Kirkburton

Pontefract

Richmond

Ripon

Skipton

Wakefield

Wensley

Whitkirk

Other (please specify)

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* 9. Parish

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* 10. I understand I am responsible for all loans and if any are damaged or lost whilst in my care, I will either replace or reimburse the Diocese.

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