St. Augustine Parish Registration Form
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Family Last Name(s): *
Mailing Address: *
City
 *
Zip Code
 *
Home Phone:
Would you like us to send you Offertory Envelopes:
 *
First and Last Name of Adult # 1 (Head of House) *
Goes By:
Date of Birth
 *
MM
/
DD
/
YYYY
Email Address: *
Cell Phone: *
Occupation:
Have you received the following sacraments:
 *
Required
If Married: Date of Marriage
MM
/
DD
/
YYYY
If Married
Clear selection
Additional Members of the Household
First and Last Name of Adult # 2 (Spouse)
Goes By:
Date of Birth
MM
/
DD
/
YYYY
Cell Phone:
Email Address:
Occupation:
Has this person received the following sacraments:
The following is for each member in the household under the age of 18. If over the age of 18, please complete a separate Registration Form.
First and Last Name of Child #1
Child #1 Goes By/Nickname:
Child #1 Date of Birth
MM
/
DD
/
YYYY
Has Child #1 received the following sacraments:
First and Last Name of Child #2
Child #2 Goes By/Nickname:
Child #2 Date of Birth
MM
/
DD
/
YYYY
Has Child #2 received the following sacraments:
First and Last Name of Child #3
Child #3 Goes By/Nickname:
Child #3 Date of Birth
MM
/
DD
/
YYYY
Has Child #3 received the following sacraments:
First and Last Name of Child #4
Child #4 Goes By/Nickname:
Child #4 Date of Birth
MM
/
DD
/
YYYY
Has Child #4 received the following sacraments:
First and Last Name of Child #5
Child #5 Goes By/Nickname:
Child #5 Date of Birth
MM
/
DD
/
YYYY
Has Child #5 received the following sacraments:
A member of our household is:
God has blessed each of us with many wonderful gifts and talents. To live in a Community of Faith we are called to share  these gifts and talents with others. Please consider sharing your gifts and talents with us. If you would like more information on how to use your gifts in talents in one of our following ministries please select your areas of interest. *
Required
Any other skills or interest that you would like to share with us:
Thank you for your willingness to share your time and talents with us!

Just so, the Son of Man did not come to be served, but to serve.
Matthew 20:28
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