Baptismal Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Acolyte's Cell Phone

(###)

###

####

Home Telephone

(###)

###

####

Parent/Guardian Name *

First Name

Last Name

Parent Mobile Number 1 *

(###)

###

####

Parent/Guardian Name

First Name

Last Name

Parent Mobile Number 2

(###)

###

####

Has your child attended an Acolyte Training Seminar? *

Yes

No

Has your child been baptized in the Orthodox Faith? *

Yes

No

Has your child been tonsured as an Acolyte? *

Yes

No

Has your child served in the Altar before? *

Yes

No

Serve on Same Day?

If you have a daughter(s) that will participate as a Handmaiden and you prefer that she serve the same day as your son(s), please check yes & write their name(s) below. We will do our best to accommodate you, although we cannot guarantee it.

Yes

No preference

Live Stream *

I understand that the Annunciation Cathedral live streams its Liturgical Services over the internet, and I consent to my child’s image being included in such live streams while participating as an Acolyte. (Please check the box to indicate your consent)

Signature *

I understand that checking this box and providing my name below constitutes a legal signature.