Family Registration Form

Welcome to our Church

Click Submit Form to send this information to Cathedral Basilica Of St. Augustine.

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*Required fields

*Registration Option		Register a New Family		Update an Existing Family		*ID/Env:
				Note: Just enter the field(s) that need to be updated.

Head of Household
Title		*First Name		*Last Name		Suffix
Relationship		Middle Name		Nickname		Maiden Name
		Birth Date		*Gender	Female Male
		Religion				Marital Status
		*Baptism
		*1st Comm
		*Confirmation

	Spouse
Title		First Name		Last Name		Suffix
Relationship		Middle Name		Nickname		Maiden Name
Ethnicity		Birth Date		Gender	Female Male
		*Religion				Marital Status
		*Baptism
		*1st Comm
		*Confirmation

			Family Street Address
		*Line 1
		Line 2
		*City
		*State
		*ZIP

			Family Mailing Address
		Line 1
		Line 2
		City
		State
		ZIP

			Family Phone Numbers
		*Primary	( ) - Unlisted
			Family Email Address
		*Email	Unlisted
			Send Email Instead of Mail When Possible
			Family Remarks
		Remarks

	Member 1	Type
Title		First Name		Last Name		Suffix
Relationship		Middle Name		Nickname		Maiden Name
		Birth Date		Gender	Female Male
Grade/Degree		*Religion				Marital Status
		*Baptism
		*1st Comm
		*Confirmation

Click Submit Form to send this information to Cathedral Basilica Of St. Augustine.