Holy Hermits Online Membership • Holy Hermits Online

First Name *

Last Name *

Preferred Name

Email Address *

Date of Birth

Gender

Tip: This section (as well as other parts of this form without an *) are not compulsory so please feel free to leave it unchecked.

Mobile Number

Phone Number *

Next of Kin phone number and email address *

Tip: (please give us some contact details for who to get in touch with if we haven't seen you for a while and are concerned)

Mailing Address

Home Address

Home Country *

Marital Status

Anniversary

Service Types (e.g Sunday morning, contemplative, study group)

Tip: Let us know what sort of services you are interested in attending or if you just like the resources and email connection

Extra needs

Tip: Do you have any extra needs we need to know about to include you fully? E.g. Disability, mental health/chronic health

Ministry gifts I could offer (E.g. reading at worship, praying for/with others, welcoming, technology, administration)

Tip: Let us know how you might like be involved in the mission and ministry of Holy Hermits

How did you hear about Holy Hermits Online?

Are you connected with any other Church communities already? If so which ones?

Pets (you can note your pets down for your membership profile - please include name and breed/species)