QUESTIONNAIRE FOR ALL CURRENT ALTAR SERVERS

Please PRINT legibly.

Name:

Will you continue as an altar server from September 2017 through August 2018? YES NO

Address:

Preferred Telephone #s To Use When We Need To Contact You:

E-Mail Address(es):

Grade You Will Enter in September: School You Will Attend:

Number of Completed Years of Altar Serving:

If entering the 8th grader or higher, do you want to be considered for a team captain position?
Please circle one: YES NO

FOR RETURNING CAPTAINS ONLY:

If you have fulfilled your captain duties well, do you want to continue serving as a captain?
Please circle one: YES NO

***********

Parents, please fill out the following information.

All servers must rotate throughout the schedule. To assist servers in finding replacements,
which are the two weekend Mass times (Saturday evening/Sunday) your family PREFERS?
1st preference (circle one): 5 p.m. 7:30 a.m. 9 a.m. 10:45 a.m. 12:30 p.m. 6 p.m. Any Mass
2nd preference (circle one): 5 p.m. 7:30 a.m. 9 a.m. 10:45 a.m. 12:30 p.m. 6 p.m. Any Mass

Does your child have permission to help us by serving at weddings?

Please circle one: YES NO

Does your child have permission to help us by serving at funerals? Please check all that apply.
‘ Yes, my child has my permission to serve at funerals on Saturdays and during vacations.
(Applies to ALL servers.)
‘ Yes, my child has my permission to serve at funerals during school days.
(Applies only to Saint Peter’s Parochial School students and those who are home schooled.)
‘ No, my child does not have my permission to serve at funerals.

Can your child be exposed to incense? Please circle one: YES NO

Signature of Parents/Guardians Giving Permission for Child To CONTINUE as Altar Server

& To Serve in the Above Capacities:

Please return this form to the Sunday Sacristy in the Narthex no later than Sunday, June 18 .
If you have any questions, please contact our Altar Server Coordinators, Mr. and Mrs. Rinaldi,
at 301–774–6308 before 9 p.m., or e-mail them at stp.altarservers@verizon.net.