Midwest KERAZA - Servant Registration Form
Church*
St George, Toledo, OH
St Mark, Cleveland, OH
St Mark, Troy, MI
St Mary, Columbus, OH
St Mary and St Mark, Indianapolis, IN
Holy Cross Church, Farmington Hills, MI
St Mina and St Abanoub, Dayton, OH
St Peter and St George, Westlake, OH
St Mary and Pope Kyrillos, Fraser, MI
St Mina and Pope Kyrillos, Shelby, MI
Type
Servant (College age or older)
Junior Servant (High school helper)
Year*
First Name*
Last Name*
Cell*
T-Shirt Size*
S
M
L
XL
XXL
Service Area
Educational (Spiritual)*
Prek+k
1+2
3+4
5+6
7+8
9-12
Educational (Hymns)*
Prek+k
1+2
3+4
5+6
7+8
9-12
Activities*
Sports
Choir
Drama
Kitchen
Photography
Animation
Driving (Van)
Web Design
Web Development
Availability (Please indicate which weeks you are NOT available and which days of the week you CAN’T serve?):*
Servant Signature*
Date*
Submit