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St. Augustine Church
Iglesia de San Agustín
The Catholic Student Center of Gainesville, Florida
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Middle School Registration Form

Middle School Registration Form

*=Required

Enter full name of the student to be enrolled. *

Enter the student's home address. *

Enter the student's home phone number. *

Enter the student's cell phone number (if they have one).

Enter the school in which the student is enrolled in 2012-2013. *

Enter the student's grade in 2012-2013. *

Enter the student's birthday. *

Enter the student's e-mail. *

Enter the name of the student's father. *

Enter the father's e-mail address. *

Enter the father's cell phone number. *

Enter the name of the student's mother. *

Enter the mother's cell phone number. *

Enter the mother's e-mail address. *

Is the family registered at St. Augustine Church? *