This short form will take between 4 - 6 minutes to complete

Please complete this form if you wish to be added to the 2024 to 2029 Community Roll.

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* 1. Please provide your name or names (if there is more than one person in the household and you wish to register under the same email address)?

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* 2. Please provide contact and address details:

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* 3. I declare that I am qualified to be enrolled according to the provisions of the Cathedrals Measure 2021. Please tick the below options that apply:

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* 4. Please indicate if you would like to opt-in to receiving any of the following communications via email (please tick all that apply):

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* 5. Please indicate if you would like to opt-in to receive any other form of communications:

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