HUMANIST CEREMONIES CELEBRANT APPLICATION FORM – Name Address Email address Phone numbers Date of birth Please provide contact details for an individual unrelated to you who could provide a character reference by phone, should this be necessary. Please ensure this individual is aware that we may contact them. Referee contact details Name Address Email address Phone numbers Are you a member of the British Humanist Association? Please indicate by selecting the appropriate option below. Yes Year joined: Membership Number:
HUMANIST CEREMONIES – CELEBRANT APPLICATION FORM Name Address Email address Phone numbers Date of birth Please provide contact details for an individual unrelated to you who could provide a character reference by phone, should this be necessary. Please ensure this individual is aware that we may contact them. Referee contact details Name Address Email address Phone numbers Are you a member of the British Humanist Association? Please indicate by selecting the appropriate option below. Yes Year joined: Membership Number:
2017-01-19-FINAL-Celebrant-Application-Form-3.docx