Communicants’ Roll Declaration

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DECLARATION FOR INCLUSION OF AN INDIVIDUAL IN THE COMMUNICANTS’ ROLL OF A CONGREGATION

(CANON 41)

I declare that I am a baptised and communicant member of the congregation of

(                                    ), I am 16 years of age or over and I wish to serve that congregation as a voting member of its general meetings.

I further consent to my name and contact details being included on the Communicants’ Roll/church address list and to the holding and processing of such data for the purposes of church administration.  I understand that such details may be made publicly available within the Scottish Episcopal Church.

Signed:

Print Name:

Address:

Date: