Name *

First Name

Last Name

Family Contact Name

First Name

Last Name

Family Contact Phone

(###)

###

####

Are you new to the altar server ministry?

Yes

No

I give my permission for my child (named above) to participate in Saint Raphael the Archangel Catholic Church Altar Server Ministry. I understand that children will be well supervised, and I will not hold Saint Raphael the Archangel Catholic Church, its employees or volunteers responsible if an accident should occur. *

I Give My Permission and Understand

I give my permission for photos of my family, taken at parish events, to be used in parish publications, including newsletters, bulletin, social media, and the website. Names will not be posted.

I Give My Permission