Parish Census

YOUR HOUSEHOLD DETAILS
Please fill in the below contact details for your household.
Address

Street Address
Address Line 2

Address Line 2
Town/City

Town/City
Postcode*

Postcode
Phone number (for primary contact)*
Email (for primary contact)*
How many people live at the above address?
Please enter a number from 1 to 10.
Include both adults and children.
WHO IS IN YOUR HOUSEHOLD? (ADULTS)
This section is about ADULTS ONLY that permanently live in your household. You can add a new entry for each household member at the end of each section. There is a separate section for members of your household under the age of 18.
PERSON 1 (PRIMARY CONTACT)
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
Mobile Phone
Email
Occupation
Is this individual Catholic or Non-Catholic?
- Catholic
- Non-Catholic
Do you want to add a second person to your entry?
- Yes
- No
PERSON 2
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
Occupation
Is this individual Catholic or Non-Catholic?
- Catholic
- Non-Catholic
Do you want to add a third person to your entry?
- Yes
- No
PERSON 3
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
Occupation
Is this individual Catholic or Non-Catholic?
- Catholic
- Non-Catholic
Do you want to add a fourth person to your entry?
- Yes
- No
PERSON 4
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
Occupation
Is this individual Catholic or Non-Catholic?
- Catholic
- Non-Catholic
Do you want to add a fifth person to your entry?
- Yes
- No
PERSON 5
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
Occupation
Is this individual Catholic or Non-Catholic?
- Catholic
- Non-Catholic
WHO IS IN YOUR HOUSEHOLD? (UNDER 18s)
This section is about children/under 18s that permanently live in your household. You can add a new entry for each household member at the end of each section.
Are there any members of your household under the age of 18?
- Yes
- No
Child 1
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
What year/stage of education are they in?
Name of Nursery/School/College/University
What sacraments have they received?
- Baptism
- Communion
- Confirmation
Do you want to add a second child to your entry?
- Yes
Child 2
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
What year/stage of education are they in?
Name of Nursery/School/College/University
What sacraments have they received?
- Baptism
- Communion
- Confirmation
Do you want to add a third child to your entry?
- Yes
Child 3
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
What year/stage of education are they in?
Name of Nursery/School/College/University
What sacraments have they received?
- Baptism
- Communion
- Confirmation
Do you want to add a fourth child to your entry?
- Yes
Child 4
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
What year/stage of education are they in?
Name of Nursery/School/College/University
What sacraments have they received?
- Baptism
- Communion
- Confirmation
Do you want to add a fifth child to your entry?
- Yes
Child 5
Name
First Last
Date of Birth

Day
Month
Year

Input as dd/mm/yyyy e.g. 01/01/1990
What year/stage of education are they in?
Name of Nursery/School/College/University
What sacraments have they received?
- Baptism
- Communion
- Confirmation
MASS
Which Mass do you usually attend:*
- 6pm (Sat)
- 9.15am
- 10.30am (Holy Rosary)
- 11am
- 6pm
Does anyone in your household require additional support to attend Mass due to any special needs and/or disabilities?
- Yes
- No
You have selected Yes - please provide further details:
YOUR ROLE IN THE PARISH
Areas of parish life that household members are involved in already or would like to become involved in. Training is available for these tasks, so if you would like to get involved, please don’t hesitate! Parishioners with experience will help.
LITURGY - Parish Worship
I am already involved in one or more of the following liturgical activities:
- Reader
- Minister of Holy Communion
- Altar Server
- Choir
- Playing a Musical Instrument
- Welcoming people at Mass
(You can select multiple options)
I would like to be involved in one or more of the following liturgical activities:
- Reader
- Minister of Holy Communion
- Altar Server
- Choir
- Playing a Musical Instrument
- Welcoming people at Mass
(You can select multiple options)
CARING FOR ONE ANOTHER
I am already involved in one or more of the following parish care activities:
- Visiting the Housebound
- Using language skills
- Bringing the elderly to Mass
- Saint Vincent de Paul Society
(You can select multiple options)
I would like to be involved in one or more of the following parish care activities:
- Visiting the Housebound
- Using language skills
- Bringing the elderly to Mass
- Saint Vincent de Paul Society
(You can select multiple options)
HANDING ON OUR FAITH
I am already involved in one or more of the following faith education activities:
- Baptism Preparation
- Reconciliation
- First Holy Communion
- Confirmation
- Children's Liturgy
- Faith Study/Prayer Group
(You can select multiple options)
I would like to be involved in one or more of the following faith education activities:
- Baptism Preparation
- Reconciliation
- First Holy Communion
- Confirmation
- Children's Liturgy
- Faith Study/Prayer Group
(You can select multiple options)
BEHIND THE SCENES
I am already involved in one or more of the following behind-the-scenes activities:
- Fundraising
- Organising social events
- Basic DIY (Changing light bulbs, plumbing, rubbish clearance etc.)
- Restoration, repairs and decoration
- Cleaning the churches
- Flower arranging
(You can select multiple options)
I would like to be involved in one or more of the following behind-the-scenes activities:
- Fundraising
- Organising social events
- Basic DIY (Changing light bulbs, plumbing, rubbish clearance etc.)
- Restoration, repairs and decoration
- Cleaning the churches
- Flower arranging
(You can select multiple options)
FINANCIAL CONTRIBUTIONS TO THE PARISH
Do you financially contribute to the parish?
- Yes
- No
How do you contribute to the parish?
- I use the parish envelopes
- I give by standing order
- I give to the loose collection
Would you like to know more about planned giving?
- Yes
- No
Would you like to setup a monthly Standing Order?
- Yes
- No
Would you like to complete a Gift Aid Declaration?
- Yes
- No
ANY OTHER INFORMATION
Please add any further information or comments here:
COMMUNICATION CONSENT
Protecting your privacy: Your personal details are required for the specific purpose of processing the parish census and will not be shared outside of the parish. The information will be held on file and stored securely and only used for the purposes of the census and parish administration. The parish is part of the Diocese of Leeds and personal data is processed in accordance with the diocese’s Privacy Notice which is available at https://www.dioceseofleeds.org.uk/privacy-notice/ or from DPO@dioceseofleeds.org.uk. By giving us your email address and telephone number, you consent to being being contacted via this method about news, events, fundraising and other activities in the parish. You can unsubscribe from these emails at any time by contacting office.cathedral@dioceseofleeds.org.uk.
Consent*
- I consent for this data to be processed as per the terms and conditions, the Diocese of Leeds privacy policy & consent to receiving communication via email or telephone.

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Leeds Cathedral

Parish of Mother of Unfailing Help

Parish Census

YOUR HOUSEHOLD DETAILS

WHO IS IN YOUR HOUSEHOLD? (ADULTS)

PERSON 1 (PRIMARY CONTACT)

PERSON 2

PERSON 3

PERSON 4

PERSON 5

WHO IS IN YOUR HOUSEHOLD? (UNDER 18s)

Child 1

Child 2

Child 3

Child 4

Child 5

MASS

YOUR ROLE IN THE PARISH

LITURGY - Parish Worship

CARING FOR ONE ANOTHER

HANDING ON OUR FAITH

BEHIND THE SCENES

FINANCIAL CONTRIBUTIONS TO THE PARISH

ANY OTHER INFORMATION

COMMUNICATION CONSENT

MENU

CONTACT

ADDRESS