IC Altar Server Information/Permission Form
Dear Student, Thank you for your interest in serving the Immaculate Conception parish community as an Altar Server. Please complete the information below, including contact information for your parent or guardian so permission for your participation can be verified. When you have completed inserting all the requested information, just click to submit.
Last Name: *
First Name: *
Address:*
City:*
State:*
Zip: *
Home Phone Number:*
Cell Phone Number:
Email address:*
Confirm email address: *
Please indicate your preferred and 2nd choice of Mass times to serve as an Altar Server below.
1st choice preferred Mass time to serve: *
 5:15 PM Saturday
 7:30 AM Sunday
 9:00 AM Sunday
 11:30 AM (11:00 summer) Sunday
 5:15 PM Sunday
2nd choice preferred Mass time to serve:*
 5:15 PM Saturday
 7:30 AM Sunday
 9:00 AM Sunday
 11:30 AM (11:00 summer) Sunday
 5:15 PM Sunday
Will you be available to serve at normal weekend Masses during summer months? *
If needed, could we call on you to serve at funerals during the summer? *
Your parent or guardian must approve your being an Altar Server at Immaculate Conception. You cannot begin your ministry if the following permission and indication of support is not provided by your parent or guardian.
I/We approve of our son/daughter becoming an Altar Server at Immaculate Conception and will support him/her in carrying out the responsibilities (primarily getting to Mass as scheduled) of serving the parish in this ministry.
Parent / Guardian Last Name*
Parent / Guardian Last Name*
Parent / Guardian Phone Number: *
Parent / Guardian Email Address: *


Submit