Date of Death

Name of the Deceased

Your Full Name

Your Email Address

Your Phone Number

Relation

Confirm Parishoner Confirm Parishoner Please tick to confirm that the loved one you are adding to this list has a connection to St Peter’s Church. Confirm

Confirm Confirm Please tick to confirm you are either a member of the deceased’s family or you have received the verbal consent of the deceased’s family for their departed loved one to be included on the parish anniversaries list, and that you/they understand that the anniversaries list is publicised in our parish newsletter, which is available in church and on our parish website. The name of the deceased will appear annually around the time of their anniversary. Confirm