Parish Registration - St. Augustine Catholic Church

Registration Form for Parish Membership

Saint Augustine of Hippo Catholic Church

Household Information

Date

Family Name (Household Surname)

Street Address

City

State

Zip

Home Phone

E-Mail

Marital Status

Family Members

Include spouse? Number of children Spouse section will hide/show automatically; child sections are generated from the count.

Head of Household

First Name

M.I. is optional.

Nick Name (if any)

Last Name (if different)

Gender

Cell Phone

Employed by

Birth Date

Baptism Date

1st Penance Date

1st Communion Date

Baptism Location

1st Penance Location

1st Communion Location

Confirmation Date

Confirmation Location

Marriage Date

Marriage Location

Spouse