Registration for Rosters

First Name *

Middle Name

Last Name *

Preferred Name

Receipt Name

Locations you want to serve (you can choose multiple places) *

St Bernadette's Church Hornby

St Teresa's Church Riccarton

Our Lady of Victories Church Sockburn

Mass Time you would like to Serve at (You can choose multiple times) *

Demographics *

Sacraments Received

Gender *

Date of Birth *

Email Address *

Mobile Number *

Preferred contact method

Home Phone

Home Address *

Home Address Line 2

Home Postcode *

Home City *

Home Country *

Mailing Address

Mailing Address Line 2

Mailing City

Mailing Postcode

Mailing Country

School Grade

Country of Origin *

Occupation *

Giving Number

Marital Status *

Anniversary