ADMISSION TO COMMUNION FORM - St George's Anglican Church

APPLICATION FOR ADMISSION TO COMMUNION

Your Full Names and Surname

If you are in your teens, how old are you?

Residential Address

Postal Address

Home Phone

Cell Phone

Work Phone

Email *

Are you baptized?

Yes
No

Please note that if you are not baptised, you will be baptised either at a separate service before your confirmation, or at the confirmation service.

Are you a member of St. George's

Yes
No

How often do you attend Church?

Almost weekly
Once a month
A few times a year
Seldom or never

Why, personally, do you want to take communion?

Signature

Date *

Popi Act: We respect your right to privacy and therefore aim to ensure that we comply with the legal requirement of the POPI Act which regulates the manner in which we collect, process, store, share and destroy any personal information which you have provided to us.

If you are Baptised, indicate the name of the church, denomination, and town/city in which you were Baptised.