Please select one of the following by placing a tick in the appropriate box, fill it in and send a signed copy to our Electoral Roll Officer; Trina Lomas.

I   ...............................................................

Of ................................................................................. Post Code .................

Email Address ............................................

declare that:
I am baptised and am aged 16 or over,

or; will become 16 on .................................... (See Note 1)
A.  I am a member of the Church of England
(or of a Church in Communion with the Church of
England) and am resident in the Parish. (See Note 2)

B.  I am a member of the Church of England
(or of a Church in Communion with the Church of England) and, not being resident in the parish, I have habitually attended public worship in the parish during the period of six months prior to enrolment.

C.  I am a member in good standing of a Church,
not in Communion with the Church of England, which subscribes to the doctrine of the Holy Trinity
and I declare myself to be a member of the Church of England.
I also declare that I (would) have habitually attended public worship
in the parish during the period of six months prior to enrolment.(See Note 3)

Comment ................................................................................(See Note 4)

I declare that the above answers are true and I apply for inclusion on the Electoral Roll of St Andrew's, Barming Heath, Maidstone, Kent.

Signed...........................................................   Date.................................

Notes: 1. If you become 16 during the next 12 months, enter the date of your birthday here. You will be eligible for entry on the roll on that date.
2. The only Churches currently in Communion with the Church of England are other Anglican Churches and certain foreign churches.
3. Membership of the electoral roll is open to members in good standing of a Church, not in communion with the Church of England, which subscribes to the doctrine of the Holy Trinity where those members are also prepared to declare themselves to be members of the Church of England.

4. The Roll is renewed every six (6) years. Those on the previous roll are informed and given the opportunity to re-apply. If you were on the prevoius roll as an habitual worshipper but are not resident in the parish and have been prevented by sickness or absence or other essential reason from worshipping for the past six (6) months you may use the 'would' option of version 'C' above and add " but was prevented from doing so because..(enter the reason)" in the comments box.
5. If you have any difficulty with this form, please approach the Vicar, Electoral roll Officer, or a Church Warden who will be pleased to help you.
6. In this document 'parish' means ecclesiastical parish.