Tell us about yourself!

Preferred Name/Nickname
Maiden Name
Date of Birth*
Affiliation (please check all that apply)*
Email*
Confirm Email*
Phone*
Country*
Occupation/Job Title
Religion*
Sacraments Received
Primary Language*
Other Language(s) Spoken

Spouse Information

If you are married, tell us about your spouse.

First Name
Middle Name
Last Name
Preferred Name/Nickname
Maiden Name (if applicable)
Date of Birth
Date of Wedding Anniversary
Marital Status
Affiliation
Primary Phone
Email
Occupation
Religion
Sacraments Received
Primary Language
Other Languages Spoken

Children

Tell us more about your family by letting us know if you have children, who they are!

Child 1 First Name
Child 1 Middle Name
Child 1 Last Name
Child 1 Preferred Name/Nickname
Child 1 Date of Birth
Child 1 Sacraments Received
Child 2 First Name
Child 2 Middle Name
Child 2 Last Name
Child 2 Preferred Name/Nickname
Child 2 Date of Birth
Child 2 Sacraments Received
Child 3 First Name
Child 3 Middle Name
Child 3 Last Name
Child 3 Preferred Name/Nickname
Child 3 Date of Birth
Child 3 Sacraments Received
Child 4 First Name
Child 4 Middle Name
Child 4 Last Name
Child 4 Preferred Name/Nickname
Child 4 Date of Birth
Child 4 Sacraments Received

Parishwide Involvement

These are the activities that St. Augustine Church has to offer. Want to get involved? Please check all that you're interested in!

Parishwide Program Interests

Information and Involvement for College Students

Are you a college student? Tell us more about yourself and your interests to get plugged into our student ministries!

Parent 1's Name
Parent 1's Phone
Parent 1's Email
Parent 2's Name
Parent 2's Phone
Parent 2's Email
Student Program Interests

Alumni Information

Help us get to know about your time at the student center by telling us more!

College Attended
College Graduation Year
Degree
Major
Minor
Additional Comments

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