OLPH Altar Server Registration

Parent's Name REQUIRED Please fill out this field. Please enter valid data.

Parent 1 REQUIRED Mother Father Please fill out this field.

Parent's Name Please enter valid data.

Parent 2 Name Mother Father

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Whose Cell Phone Number REQUIRED Mother Father Please fill out this field.

Parent Email - All Communication Goes Through the Parent REQUIRED Please fill out this field. Please enter an email address.

Whose email REQUIRED Mother Father Please fill out this field.

Child's Info

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

School REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field. Please enter valid data.

Child's Age REQUIRED Please fill out this field. Please enter valid data.

Child's Gender REQUIRED Female Male Please fill out this field.

Has the child been an altar server previously? REQUIRED No Yes Please fill out this field.

When are you interested in altar serving? REQUIRED Please fill out this field.

Once you have made a commitment to serve, you will need to provide your Mass preference and dates not available to serve. A schedule will be made for all altar servers.

Our Lady of Perpetual help

St. Mary of the Assumption &
St. Ursula Churches

OLPH Altar Server Registration

Altar Server Form