Parishioner Registration Form San Agustín Cathedral Laredo, Texas Head of Household Information:Date: *Envelope No: *Name of Head of Household: *Date of birth: *Marital Status: *SingleMarriedDivorcedWidowedOtherOther Status: *Status Married: *CivilChurchDate: *Name of Employer: *Employer Phone #: *Sacraments: *BaptismCommunionConfirmationOccupation: *Work Phone: *E-mail address:Cell Phone:Home Address: *City - Zip Code: *Mailing Address: *City - Zip Code: *Primary Language of Household:EnglishEspañolOtherOther Lenguage:Spouse Information:Name of Spouse:Date of Birth:Sacraments: *BaptismCommunionConfirmationOccupation:Work Phone: *E-mail address:Cell Phone:Additional Information:NAME(S) AND DATE(S) OF BIRTH OF MINOR CHILD(REN) AND/OR OTHER SINGLE ADULT(S) LIVIN AT THIS ADDRESS.Grade:Name:Relationship to Head of Hoisehold:ReligionReligion:CatholicOtherDate of Birth:Other Religion:Age:Gender:MaleFemaleSacraments: *BaptismCommunionConfirmationSubmit form
