• Sign up your child(ren) today

  We look forward to seeing you and your children on September 22. Please sign up below so we know to expect you.

• The maximum number of form submissions has been reached. This form is currently not available.

  • Children's Last Name(s) REQUIRED Please fill out this field. Please enter valid data.
  • Father's Name* Please enter valid data.
  • Mother's Name* Please enter valid data.
  • *Please include last name if different from children's
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
  • • How many children do you wish to register? REQUIRED
      Please include the name, birth date, grade level, and school for each child
      Please fill out this field.
    • Child 1
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter valid data.
      • Birthday REQUIRED Please fill out this field. Please enter valid data.
      • Name of School Attending REQUIRED Please fill out this field. Please enter valid data.
      • Grade REQUIRED (Select One) Preschool (age 3-5) K-1 2-3 4-6 Please fill out this field.
      • Sacraments Celebrated (check all that apply) Baptism Reconciliation Confirmation Eucharist
      • Special Medical Needs (allergies, etc) Please enter valid data.
    • Child 2
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter valid data.
      • Birthday REQUIRED Please fill out this field. Please enter valid data.
      • Name of School Attending REQUIRED Please fill out this field. Please enter valid data.
      • Grade REQUIRED (Select One) Preschool (age 3-5) K-1 2-3 4-6 Please fill out this field.
      • Sacraments Celebrated (check all that apply) Baptism Reconciliation Confirmation Eucharist
      • Special Medical Needs (allergies, etc) Please enter valid data.
    • Child 3
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter valid data.
      • Birthday REQUIRED Please fill out this field. Please enter valid data.
      • Name of School Attending REQUIRED Please fill out this field. Please enter valid data.
      • Grade REQUIRED (Select One) Preschool (age 3-5) K-1 2-3 4-6 Please fill out this field.
      • Sacraments Celebrated (check all that apply) Baptism Reconciliation Confirmation Eucharist
      • Special Medical Needs (allergies, etc) Please enter valid data.
    • Child 4
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter valid data.
      • Birthday REQUIRED Please fill out this field. Please enter valid data.
      • Name of School Attending REQUIRED Please fill out this field. Please enter valid data.
      • Grade REQUIRED (Select One) Preschool (age 3-5) K-1 2-3 4-6 Please fill out this field.
      • Sacraments Celebrated (check all that apply) Baptism Reconciliation Confirmation Eucharist
      • Special Medical Needs (allergies, etc) Please enter valid data.
    • Child 5
      • Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter valid data.
      • Birthday REQUIRED Please fill out this field. Please enter valid data.
      • Name of School Attending REQUIRED Please fill out this field. Please enter valid data.
      • Grade REQUIRED (Select One) Preschool (age 3-5) K-1 2-3 4-6 Please fill out this field.
      • Sacraments Celebrated (check all that apply) Baptism Reconciliation Confirmation Eucharist
      • Special Medical Needs (allergies, etc) Please enter valid data.
  • I hereby grant permission to Saint Augustine Parish and the Diocese of Spokane to publish pictures of my child(ren) on their website, social media, and promotional fliers. I understand that the names of my children will not be included without additional written consent.  
  • Consent I agree No, I do not give this permission
  • FEES:  $35 for 1 child, $60 for 2 children and $80 for 3 or more children in preschool and elementary programs.    
  • PLEASE REGISTER CHILDREN REGARDLESS OF FINANCES I would like to request a scholarship for my child(ren)
  • Make payment $0 – None $35 – One Child $60 – Two children $80 – Three or more children

  Total:

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