The Diocese of St. Edmundsbury and Ipswich This is the Declaration to be used for the swearing into office of Churchwardens I ________________________________________________________________ (please insert your name) do solemnly and sincerely declare, that I will faithfully, and willingly, discharge the duties of the office of Churchwarden, within the Parish to which I have been elected, during the period of my appointment. I further declare that I am not disqualified from holding the office of Churchwarden under Section 2, of the Churchwardens Measure 2001. Signed ________________________________________________________________ Churchwarden of ________________________________________________________________ The Churchwardens Measure 2001 Note: the disqualifications are (a) disqualification as a charity trustee under s.72 of the Charities Act 1993; (b) convictions within Schedule 1 to the Children and Young Persons Act 1933; (c) disqualification under section 10(6) of the Incumbents (Vacation of Benefices) Measure 1977. If you are in any doubt as to whether you are disqualified, please consult the Diocesan Registrar before signing this form. The Venerable Dr David Jenkins, Archdeacon of Sudbury Sudbury Lodge ● Stanningfield Road ● Gt Whelnetham Bury St Edmunds ● IP30 0TL The Venerable Ian Morgan, Archdeacon of Suffolk Glebe House ● The Street ● Ashfield cum Thorpe Stowmarket ● IP14 6LX