Parish Registration Form – St.Augustine's Parish

The Family Name

Date

Your Name

First

Last

Your Spouse's Name

First

Last

Your Present Envelope Number (If you have envelopes)

I would like to have envelopes (check box)

Yes

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mailing Address (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number

Email

Religion

Spouse Religion

Date of Birth

Spouse Date of Birth

Occupation

Spouse Occupation

Language

Religion indicate Would

Spouse Language

Gender

Male
Female

Spouse Gender

Male
Female

Baptized

Yes
No

Spouse Baptized

Yes
No

Confirmed

Yes
No

Spouse Confirmed

Yes
No

Marital Status

Marriage Date

Please indicate any organizations you presently belong to.

Please indicate any organizations your spouse presently belongs to.

Please indicate any St. Augustine's ministries you presently serve in.

Please indicate any St. Augustine's ministries your spouse presently serves in.

Child's Name (only if living at home)

First

Last

Date of Birth

Gender

Male
Female

Baptized

Yes
No

First Communion

Yes
No

Confirmed

Yes
No

School Attending

Child's Name (only if living at home)

First

Last

Date of Birth

Gender

Male
Female

Baptized

Yes
No

First Communion

Yes
No

Confirmed

Yes
No

School Attending

Child's Name (only if living at home)

First

Last

Date of Birth

Gender

Male
Female

Baptized

Yes
No

First Communion

Yes
No

Confirmed

Yes
No

School Attending

Child's Name (only if living at home)

First

Last

Date of Birth

Gender

Male
Female

Baptized

Yes
No

First Communion

Yes
No

Confirmed

Yes
No

School Attending

Which Mass do you prefer to attend?

Sat. 5:30 p.m.
Sun. 9:00 a.m.
Sun. 11:00a.m.
My Mass choice is flexible

If you or a member of you family may not be able to attend mass. Would you like our Ministry to the Sick to call?

Yes
No

If you have an adult or elderly parent living with you arrange to fill out a separate information form for them?

Yes
No

Are you interested in serving in one of the Liturgy Ministries?

Yes
No

If yes to the above, please indicate which ministries:

There is a Children’s Liturgy at the Sun. 9:00 am. for ages 4 to 7/8: Will any of your children be participating?

Yes
No

Are your children currently attending, or will they attend, Catholic school?

Yes
No

Children in private school?

Yes
No

Do you have a skill or trade the parish might call upon?

Does your spouse have a skill or trade the parish might call upon?