St. Augustine Church
Iglesia de San Augustin
The Catholic Student Center of Gainesville, Florida

Registration Form for RCIA for Children

Registration Form

Please complete the form and click the submit button at the end to enroll your child in this program

*=Required

Enter the full name of the child to be Baptized. *

Enter the school the child attends in 2010-2011. *

Enter the grade the child attends in 2010-2011. *

Enter the child's birthday. *

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

Enter any additional information that may be helpful to us in working with this child.

Enter the home address of the child. *

Enter the home phone number.

Enter the name of the child's mother. *

Enter the mother's cell phone number.

Enter the mother's e-mail address.

Enter the name of the child's father. *

Enter the father's cell phone number.

Enter the father's e-mail address.

Are you registered members of St. Augustine Church? *