Parish Census | Diocese of Leeds

YOUR HOUSEHOLD DETAILS

Please fill in the below contact details for your household.

Address

Street Address

Address Line 2

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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

DD

MM

YYYY

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.