Sign up form

In order to comply with new General Data Protection Regulations, St Sampson’s Church needs you to fill out this form so we can hold your personal information and send you communications by email and SMS (in the future!), including the monthly newssheet, prayer network emails and other emails about services and events. 

Every adult needs to fill in a form each. You can also download and print a copy of the form. For children’s details we are using the S Club/Vibe forms, so please see a leader to ask for one. 

St Sampson’s Church will use the information given on this form for administrative queries (e.g. regarding Gift Aid forms, a Standing Order or wedding booking) or for pastoral support that you have requested or during a time of illness or need.

St Sampson’s Church would also love to stay in touch so you have the latest news about services, events and other activities. Please opt in below.

You can read the full Privacy Policy here

Please send me: (tick all that apply)

Information about St Sampson’s services, events and community news:
By email
By SMS/text (future)
St Sampson’s monthly newsletter by email
Ad hoc prayer network email so I can pray for people and activities in our church and local community.
Printed Church Directory :
Please include me (Your name, address, email, home tel & children’s names will be included. You will get a copy whenever it is updated.)
Indicate the usual service(s) you attend so we can send you relevant news & reminders:
8am BCP Communion
10am service
4pm Informal Worship
Wednesday Communion
Something Different
First name:
Postal address:
Email address:
Home phone:
Date of birth:
Date of consent:
Please enter the verification number on the right:*
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* Required Fields