ST AUGUSTINE’S RC CHURCH
Diocese of Hexham and Newcastle
30 Coniscliffe Road, Darlington, DL3 7RG
Telephone: 01325 266602
Email info@staugustineschurch.org.uk
Website: www.staugustineschurch.org.uk
Section A: About you…. We invite every parishioner and regular worshipper at this Church to
fill in the following: (block letters please) NB: Your answers are confidential
Family Surname:
Address
Telephone No.:
Post Code:
Email
Mobile
How long have your lived at this address
Language(s) spoken
Would you like a parish magazine delivered? Y/N Would you like access to a large print bulletin? Y/N
Bapt – Baptised, FHC – First Holy Communion Received, Conf – Confrmed
Name (including Surname if different) Relationship (e.g.
son)
e.g. Sara
e.g. mother
Your Details
DOB (adults
optional)
e.g. 12.03.1976
Bapt FHC Conf.
√
√
√
Your Family Details
Is there anyone confined to home that would like a visit?
Y/N
Or receive Communion
If you are a taxpayer, would you be interested in joining our parish Gift Aid Scheme?
What do you enjoy best about this parish?
Y/N
Y/N
What do you think is missing?
Parish Census Form
November 2014
This information will be retained by the Parish and used solely for Parish purposes.
Section B: The life of the parish…. Finally, we also invite you to mention any involvement you
have in any parish activities or organisations:
It would be useful if we could be aware of what skills we have to draw on in the parish and would be
grateful if you would fill out the following:
Are you or have you been involved in any of the ministries below,
here or somewhere else, or would like to be involved?
All activities require DBS Clearance
I am
I currently
interested in do this in
doing this the parish
I have
experience
in this
Family member name(s)
Reader
Welcomers/Mass/Funerals
Altar Server
Sacristan
Childrens Liturgy
Organist/Guitarist
Singing in a Choir
Flower Arranging
Catechist
Youth Work
Prayer Group
SVP
Justice and Peace
Ecumenical – working with
neighbouring Churches
CAFOD
Piety Shop
Book-keeping
Counters
Fund-Raising
Other
Which Masses do you most regularly attend?
Sunday
9.15am
□
Sunday
11.00 am
□
Sunday
6.30pm
□
Tuesday
12.15pm
□
Thursday
12.15 pm
□
Friday
7.00 pm
□
Work Skills – do you have a skill that could be useful in the parish?
For example, Accountancy, Advertising, Artist, Building Maintenance, Business
Management, Computer Skills, Counselling, Decorating, Gardening, Health & Safety,
Legal, Office Skills, Publicity, Social Work, Teaching, Other, please specify:
Would you be prepared to help out in any other way?
For example Tea & Coffee making, Church Cleaning, Church Linen, Gardening.
Parish Census Form
November 2014