Parish Registration Please fill in the Registration form below. Parish Registration "*" indicates required fields Name* First Last Date of Birth DD slash MM slash YYYY GenderMaleFemaleContact number*Email address* Address Street Address Suburb City Post Code Ethnicity Occupation Spouse / Partner Name First Last Date of Birth DD slash MM slash YYYY GenderMaleFemaleContact numberEmail address Ethnicity Occupation Person(s) living with youFirst NameLast NameD.O.B (dd/mm/yyyy eg. 18/01/2006) Add RemoveClick + at the end of the line above to "ADD MORE"Which parish groups are you CURRENTLY SERVING at St Luke's? Altar server Mass Coodinator Reader/Commentator Minister of Holy Communion Children's Liturgy Music/Choir Projectionist Sacristan Liturgy of the Word with Communion Ministry to the sick Baptism team RCIA team Children's Sacramental Programme Teacher Youth Young Adults Alpha leader Church repairs and Maintenance Flower arrangements Counter Hospitality team Parish Council Finance Committee Liturgy Committee Fundraising Committee Which parish groups WOULD YOU LIKE TO SERVE IN at St Luke's? Altar server Mass Coodinator Reader/Commentator Minister of Holy Communion Children's Liturgy Music/Choir Projectionist Sacristan Liturgy of the Word with Communion Ministry to the sick Baptism team RCIA team Children's Sacramental Programme Teacher Youth Young Adults Alpha leader Church repairs and Maintenance Flower arrangements Counter Hospitality team Parish Council Finance Committee Liturgy Committee Fundraising Committee Planned GivingYESNOI wish to contribute to the parish on a regular basis using the automatic payment system. You can set up your automatic payments using your bank’s online banking system or mobile application • Parish Bank Account: 02-0100-0233290-16 • New Church Building Fund: 02-0358-0037852-00Agreement* Yes By completing this form, I consent to my information being stored and used for the pastoral, financial, administrative and fundraising purposes of the Catholic Parish of St. Luke's Flat Bush and the Catholic Diocese of Auckland. I understand that my data will be held securely and that I have a right to access my information. I understand that when this information is no longer required for this purpose, my data will be disposed of according to the Parish and Diocesan Record Retention and Disposal procedure. I give consent to photographs and/or video imagery being taken of the person/family here named for St. Luke's parish media. Δ