Click Submit Form to send this information to St. Augustine Catholic Church.

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*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity *Birth Date *Gender Female   Male
Grade/Degree   Language *Marital Status
Sacraments   Name Received Date Place
   Baptism
   First Comm
   Confirm
   Marriage
   Deceased
Remarks    

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Sacraments   Name Received Date Place
   Baptism
   First Comm
   Confirm
   Marriage
   Deceased
Remarks    

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
Sacraments   Name Received Date Place
   Baptism
   First Comm
   Confirm
   Marriage
   Deceased
Remarks    


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