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Newcastle

Parish Registration Form

St Mary’s Mission Newcastle

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Family & Member Registration

Please complete all required fields below

✝️ St. Mary’s Mission, Newcastle

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Family Code

🏷️ Family Name(Required)

(Name of family in India ,Veettuperu)

👨‍👩‍👧‍👦 Family Details

Residential Address(Required)

Street Address State / Province / Region ZIP / Postal Code

Family Unit (Ward)(Required)

(Kudumbakoottayma)

👤 Head of the Family

Full Name(Required)

Baptism Name

Marital Status(Required)

Email(Required)

Mobile(Required)

Date of birth(Required)

Place of Birth

Date of Marriage(Required)

Profession(Required)

Parish in Kerala(Required)

Diocese in Kerala(Required)

👨‍👩‍👧‍👦 Spouse Details

Spouse Full Name(Required)

Spouse Baptism Name(Required)

Spouse Email(Required)

Date of birth(Required)

Spouse Phone(Required)

Spouse Place of Birth(Required)

Spouse Profession(Required)

Parish in Kerala(Required)

Diocese in Kerala(Required)

👥 Additional Family Members (Children & Dependents)

Add Family Members

Full Name	Actions

There are no Family.

🛡️ Parish Registration Consent & Agreement

Parish Registration – Privacy, Accuracy & Media Consent

1. Privacy & Data Use

St. Mary’s Mission, Newcastle will collect, store, retain, and use the information provided in this registration form for parish administration, pastoral care, sacramental, catechetical, and communication purposes. All personal information will be handled responsibly and kept confidential in accordance with the Parish Privacy Policy and applicable Australian privacy laws.

2. Declaration of Accuracy

I/we declare that the information provided in this registration form is true, accurate, and complete to the best of my/our knowledge, and that no relevant information relating to this parish registration has been knowingly omitted.

3. Photography, Media & Children Under 18

I/we give permission for myself/ourselves to be photographed or recorded during parish activities. Such images or recordings may be used in parish bulletins, newsletters, social media, and the official parish website for parish-related purposes only.

For children under 18 years of age, I/we understand that their personal information may also be collected and stored for parish administration, catechism, and sacramental purposes. I/we give permission for my/our child(ren) to be photographed or recorded during parish activities. I/we acknowledge that such images or recordings may be used in parish bulletins, newsletters, official social media platforms, and the parish website, strictly for parish-related purposes, and will be handled with privacy and respect.

Please read the above statements carefully before providing your final consent below.

Name(Required)

Signature(Required)

Date

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Ward President

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Ward President Email

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Ward President Phone

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