Altar Server Registration 2023-24

Number of Children Registering*
Child #1
Child #1 Name*
First Last
Child #1 School*
Child #1 Grade (2022-23 School Year)*
Child #2
Child #2 Name*
First Last
Child #2 School*
Child #2 Grade (2022-23 School Year)*
Child #3
Child #3 Name*
First Last
Child #3 School*
Child #3 Grade (2022-23 School Year)*
Child #4
Child #4 Name*
First Last
Child #4 School*
Child #4 Grade (2022-23 School Year)*
Child #5
Child #5 Name*
First Last
Child #5 School*
Child #5 Grade (2022-23 School Year)*
Parent Information
Parent / Guardian Names*
Parent / Guardian Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Cell*
Altar Server Mass Preferences
I would like to be scheduled for my preferred Mass each weekend I am scheduled to serve when possible. I understand that I may still be scheduled to fill in for Masses other than my most preferred Masses, as needed. Please use this ranking as a guide – Place a 1, 2, 3, 4, 5 or 6 next to each Mass. 1 = Most Preferred; 6 = Least Preferred. If you do not have a Mass Preference, leave this section blank.
Saturday 5:30 PM Mass
Sunday 7:30 AM Mass
Sunday 9 AM Mass
Sunday 10:30 AM Mass
Sunday 12 Noon Mass
Sunday 6 PM Mass
I Absolutely Cannot Serve at the
Liability
I understand and agree to the foregoing terms and conditions listed in the COVID-19 Youth Waiver
E-signature providing authorization and informed consent*
E-signature providing authorization and informed consent

Questions? Contact Alicia Steger at [email protected].

Child #1