Parish Database Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone Number Question Title * 4. Address Question Title * 5. Number of members in your household (including yourself) 1 2 3 4 5 6 Please state family members names and contact information if different from yours Question Title * 6. Church you attend (Select the one you most often go to) St Joseph's Queenstown St Patrick’s Arrowtown Glenorchy Community Church St Thomas’s Garston Question Title * 7. Would you / your whanau like to help out / volunteer in the parish Yes No If yes, please state the name of the person and what they would the like to help with Question Title * 8. In submitting this form, I consent to my details being used by the parish only. The information will only be accessed by necessary parish staff. I understand my information will be held securely and will not be distributed to third parties. Yes No Done