St. Augustine Church and Catholic Student Center

Online Parish Registration

Personal Information:

Last Name   First Name    E-mail address

Local Address City State   Zip

Home Phone    Cell Phone   Work Phone

D.O.B.  (mm/dd/yyyy)  Ethnicity     Gender: Male Female            

Marital Status Single Married Widowed Separated Divorced    Address Preference None Mr. and Mrs. Ms. Mr. Dr. and Mrs. Mr. and Dr. Drs.    

Occupation    Employer  

Religion Roman Catholic Eastern Rite Catholic Lutheran Orthodox Pentecostal Presbyterian Episcopal Methodist Jewish Baptist Other Not Listed     

Sacraments Received - Baptism        First Communion        Confirmation

Marriage     Date (mm/dd/yyyy)    By a Catholic Priest Yes    No

Student ?

I'm a student at UF   I'm a student at SFCC   

The degree I am currently working toward is
Undergraduate      Master's         PhD

Expected Graduation Year   I'm Studying   Non-UFL E-mail:   

Parents' Name(s): Permanent (Parents') Phone:

Permanent (Parents') Address: City State   Zip

Name of the Parish you attended in your hometown:

Stewardship:

Online Giving (ParishPay): I would like information on automatic withdraw   I am a current user 

Offering Envelopes: I would like to receive envelopes for my contributions  No envelopes please

Spouse:

Last Name   First Name    E-mail address

Cell Phone   Work Phone

D.O.B.  (mm/dd/yyyy)  Ethnicity                  

Address Preference None Mr. and Mrs. Ms. Mr. Dr. and Mrs. Mr. and Dr. Drs.     Occupation    Employer  

Religion Roman Catholic Eastern Rite Catholic Lutheran Orthodox Pentecostal Presbyterian Episcopal Methodist Jewish Baptist Other Not Listed     

Sacraments Received - Baptism        First Communion        Confirmation

Children:

Child 1

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

Child 2

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

Child 3

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

Child 4

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

Child 5

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

Child 6

Name        Sex Male Female     DOB (mm/dd/yyyy)

Sacraments Received -

Baptism        First Communion        Confirmation

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