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Server Registration Form

Altar Server and Acolyte Training Class Registration Form

Please complete this online registration form prior to the training class you plan to attend.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  I am signing up to be an: REQUIRED Altar Server Acolyte Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Number and Name 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.
  
  Your Mobile Phone Number (if you have one) Maximum 20 characters Please enter a phone number.
  
  Your Email (if you have one) Please enter an email address.
  
  Your School Name and Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 1's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 1's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent 1's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent 2's First and Last Name Please enter valid data.
  
  Parent 2's Phone Number Maximum 20 characters Please enter a phone number.
  
  Parent 2's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Select Mass times you attend (you must select at least one but you may select more than one) REQUIRED 4:30 PM Saturday 8:00 AM Sunday 9:30 AM Sunday 11:00 AM Sunday Please fill out this field.
  
  Do you need to be scheduled with someone else (.e.g., a brother, sister, or parent)? REQUIRED Yes No Please fill out this field.
  
  If "Yes," what is their name? Please enter valid data.
  
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St. Timothy Catholic Church

10425 W. Pico Blvd, Los Angeles, CA 90064
310-474-1216

Server Registration Form