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Altar Server Registration
CAPTCHA
Today's Date
(Required)
MM slash DD slash YYYY
Altar Server's Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
School Grade
(Required)
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Children who are in the 2nd grade and up who received their First Holy Communion, are eligible.
School Attending
Which Sacraments have you received?
(Required)
Baptism
Holy Eucharist
Confirmation
Have you ever served as an Altar Server before?
(Required)
Yes
No
Why do you want to be an Altar Server?
(Required)
Parent/Guardian Information
Family Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
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Belarus
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Belize
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Bosnia and Herzegovina
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Bouvet Island
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Burundi
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Cook Islands
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Korea, Republic of
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Panama
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Qatar
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Rwanda
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Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mother's Information
(Required)
First
Last
Phone
(Required)
Email
(Required)
Father's Information
(Required)
First
Last
Phone
(Required)
Email
(Required)
CONSENT
I give permission for photo of my son/daughter to be used in the altar server directory , in church bulletins and the Parish Website.
(Required)
Yes
No