St. Augustine Catholic Church - Parish Registration

Parish Registration

Parish Registration
Which Parish*	St. Augustine St. Mary's

Family Information
Family Name*
Email
Street Address*
Mailing Adress (if different)
Home Phone*
Cell Phone
City
State
Zip
Emergency Contact Name
Emergency Contact Phone

Head of Family
Name*
Date of birth*
Date of Baptism*
Place of Baptism*
First Communion Date*
Confirmation Date*
Occupation*
Employer or School Name*
Wedding Date
Wedding Place

Spouse
Name
Date of birth
Date of Baptism
Place of Baptism
First Communion Date
Confirmation Date
Occupation
Employer or School Name
Maiden Name

Child 1
Name
Date of birth
Date of Baptism
Place of Baptism
First Communion Date
Confirmation Date
Occupation
Employer or School Name
Grade

Child 2
Name
Date of birth
Date of Baptism
Place of Baptism
First Communion Date
Confirmation Date
Occupation
Employer or School Name
Grade

Child 3
Name
Date of birth
Date of Baptism
Place of Baptism
First Communion Date
Confirmation Date
Occupation
Employer or School Name
Grade

Other Family Member
Name
Date of birth
Date of Baptism
Place of Baptism
First Communion Date
Confirmation Date
Occupation
Employer or School Name

Please check all that apply to your family.
	Our children need to be enrolled in Religious Education. We have a child for baptism and need more information. I/We are interested in volunteer oportunities in the Parish. (Please click here for form to return to office.) I/We are interested in Inquiry Classes for Church membership. I/We are interested in scheduling an appointment with Father. Other (Please explain in comments section below)
Comments