New Parishioner Registration
St. Augustine Church | Providence, RI
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Adult 1
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Were you Baptized?
Yes
No
Did you receive your first Holy Communion?
Yes
No
Were you Confirmed in the Catholic Church?
Yes
No
Adult 2
Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Were you Baptized?
Yes
No
Did you receive your first Holy Communion?
Yes
No
Were you Confirmed in the Catholic Church?
Yes
No
Child 1
Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Please list what, if any, Sacraments they have received. Please include the information as to where they received these Sacraments.
Child 2
Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Please list what, if any, Sacraments they have received. Please include the information as to where they received these Sacraments.
Child 3
Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Please list what, if any, Sacraments they have received. Please include the information as to where they received these Sacraments.
Submit
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