YANKALILLA & DELAMERE PARISH ROLL
 If you would like to join the parish, or simply be kept informed re parish events it would greatly help if you could fill in the following.

 Just fill in the details you are happy to share with us and leave out anything that may not be appropriate.
Contact Name - Surname/Christian etc
Prefix Select from pull down menu
Email address
Phone Numbers Home:   Mobile:
Home Address
If mailing address different add here
Profession/Male

Add your profession now or prior to retirement (If appropriate)

Name Birthday (Day/Month only)

Currently employed Yes No                I am retired Yes No
   
Profession/Female

Add your profession now or prior to retirement (If appropriate)

Name Birthday (Day/Month only)

Currently employed Yes No                I am retired Yes No
   
Wedding Anniversary Wedding Anniversary(Day/Month only)
   
Email Monthly Newsletter

Would you be interested in receiving the by Email the Newsletter monthly.
Yes No
 
I would like to receive info regarding coming events. Yes No
Any other background you may like to add to help Fr Max as he continues to get to know parishioners.
When completed just click the section below and this will come direct to Father Max.