Parishioner registraton form

Personal details
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First name
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Last name
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Email address
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Mobile phone number
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Other phone number
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*
Home address
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Postcode
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Date of birth (DD/MM/YYYY)
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Invalid Date.
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May we contact you by email?
YesNo
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May we contact you by telephone?
YesNo
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May we contact you by text message (SMS)?
YesNo
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May we contact you by post?
YesNo
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Would you like to receive the parish bulletin each week by email?
YesNo
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Are you new to the parish?
YesNo
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Are you interested in participating or volunteering with particular parish groups or activities? Please let us know here.
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Do you have any professional or personal skills which could assist the parish? For example: fundraising, event organisation, website, writing, editing, administration, financial, other. Please let us know here.
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Password
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    Strength: Very Weak
    *
    Confirm password
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