The Parish of Christ Church, Shelton and Oxon

APPLICATION FOR ENROLMENT

ON THE CHURCH ELECTORAL ROLL

Name

Please add all forenames to the first box

First Name

Last Name

Full Address

Email Address

I declare that (please tick one box for option A or B)

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

B I am baptised, am a lay person, and become 16* on the following date *Those who become 16 in the next twelve months may complete the form and become eligible to be entered on the roll on their sixteenth birthday.

Date *

MM

DD

YYYY

2: I declare that (please tick only one box from options A, B or C)

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

B I am a member of the Church of England or of a Church in communion with the Church of England, am not resident in the parish but have habitually attended public worship in the parish during the preceding six months OR would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because (please complete in explanatory notes box):

C I am a member in good standing of a Church which is not in communion with the Church of England but subscribes to the doctrine of the Holy Trinity, am also a member of the Church of England and have habitually attended public worship in the parish during the preceding six months OR would have habitually attended public worship in the parish during the preceding six months but was prevented from doing so because (please complete in explanatory notes box) .

Please add any explanatory notes here:

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

Date

MM

DD

YYYY

Notes - please note when completing this form online, an email address is required.

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 declaration 2B or 2C as follows –

(a) delete the first set of words in square brackets and

(b) at the end of the second set of words in square brackets, briefly state the reason for

not having worshipped as mentioned.

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.

Use of email addresses and other personal data

6 You do not have to provide an email address on this Form. If you do provide one, 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.