Registration for First Communion

2011 - 2012 First Communion Program

*=Required

Enter your child's FULL name including first, middle and last name. *

Enter the school the child attends. *

Enter the child's grade for academic year 2011-2012. *

Enter the child's birth date. *

Enter the city/county/country in which the child was born. *

Is there any additional information you might offer to help us work with your child?

Enter the date of your child's Catholic Baptism? *

Enter the name of the church in which your child was baptized? *

Enter the city/country in which that church is located *

Enter the names of the child's Baptismal godparents *

Enter the name of the child's father *

Enter the name of the child's mother (with her Maiden Name in parenthesis) *

Enter the child's home address *

Enter the home phone number *

Enter the father's e-mail address *

Enter the father's cell phone number *

Enter the mother's e-mail address *

Enter the mother's cell phone number *

Are you a registered member of St. Augustine Church? *

	Yes
	No