Students

Choose the number of students to be registered REQUIRED Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade REQUIRED Please fill out this field.
- Choose One REQUIRED Returning Student New Student Please fill out this field.
- Choose One REQUIRED Pre-K to 8 Post Confirmation RCIA Please fill out this field.
- Baptism Sacrament Year Received Please enter valid data.
- Church/City/State Please enter valid data.
- First Communion Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Confirmation Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Does your child have internet access and a device? REQUIRED Yes No Please fill out this field.
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade REQUIRED Please fill out this field.
- Choose One REQUIRED Returning Student New Student Please fill out this field.
- Choose One REQUIRED Pre-K to 8 Post Confirmation RCIA Please fill out this field.
- Baptism Sacrament Year Received Please enter valid data.
- Church/City/State Please enter valid data.
- First Communion Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Confirmation Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Does your child have internet access and a device? REQUIRED Yes No Please fill out this field.
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade REQUIRED Please fill out this field.
- Choose One REQUIRED Returning Student New Student Please fill out this field.
- Choose One REQUIRED Pre-K to 8 Post Confirmation RCIA Please fill out this field.
- Baptism Sacrament Year Received Please enter valid data.
- Church/City/State Please enter valid data.
- First Communion Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Confirmation Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Does your child have internet access and a device? REQUIRED Yes No Please fill out this field.
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade REQUIRED Please fill out this field.
- Choose One REQUIRED Returning Student New Student Please fill out this field.
- Choose One REQUIRED Pre-K to 8 Post Confirmation RCIA Please fill out this field.
- Baptism Sacrament Year Received Please enter valid data.
- Church/City/State Please enter valid data.
- First Communion Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Confirmation Sacrament Year Received* Please enter valid data.
- Church/City/State Please enter valid data.
- Does your child have internet access and a device? REQUIRED Yes No Please fill out this field.

* Documentation is required to receive the sacraments of First Penance, First Communion and Confirmation.

For more information, contact Beatrice Judon

Parent/Guardians

Choose the number of parents/guardians REQUIRED Please fill out this field.
Parent/Guardian 1
- Choose One REQUIRED Mother Father Guardian Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Relationship (if guardian) Please enter valid data.
Parent/Guardian 2
- Choose One REQUIRED Mother Father Guardian Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Relationship (if guardian) Please enter valid data.

Contact Information

All information concerning your child should be directed to:
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number (Day) REQUIRED Please fill out this field. Please enter a phone number.
Phone Number (Evening) Please enter a phone number.
Home Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Primary Email REQUIRED Please fill out this field. Please enter an email address.
Secondary Email Please enter an email address.

Note: You will be presented with payment options after the form is submitted.

St. Augustine Catholic Church
1419 V St., NW
Washington, DC 20009
(202) 265-1470
(202) 234-1787 - Fax

Student Registration Form 2020-2021

Students

Parent/Guardians