2026 Altar Servers Retreat

2026 Altar Servers Retreat
The OCA Diocese of New York and New Jersey is sponsoring its Annual Altar Servers Retreat on:

Saturday, May 2, at Saints Peter and Paul Church, Endicott, NY

Saturday, May 9, at Holy Resurrection Church, Wayne, NJ

RETREAT INFORMATION

9:30 AM – Teaching Hierarchical Liturgy
12:00 PM – Brunch
1:00 PM – Teaching Session
4:00 PM – Conclussion of Session
5:00 PM – Great Vespers
6:00 PM – Closing Dinner

OPEN TO: Altar Servers ages 5+

Please Register By: Tuesday, April 28th

Questions? Email Fr. Martin Kraus at admin@nynjocayouth.org

Notes to Parents & Guardians:
- Transportation is the responsibility of participants— all are expected to arrive and depart on-time.
Attendee Information

Please fill out a separate form for each participant, including adults!
Saturday, May 2, at Saints Peter and Paul Church, Endicott, NYSaturday, May 9, at Holy Resurrection Church, Wayne, NJ
Youth Participant (Ages 5-17)Adult (18+)
Who will be transporting your minor? (ie: John Smith, father)*
Participant's Full Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Age*
Grade in School*
Which diocese are you from? If outside of the OCA, please review the "Other" options and choose your jurisdiction.*
Parish (name, city, and state)*
If you do not attend a parish in the OCA Diocese of New York & New Jersey, please share your Parish information in the following format: Saint John the Baptist, Little Falls, NJ*
example: Saint John the Baptist, Little Falls, NJ
AsthmaAutism Spectrum DisorderBehavioral issueCardiovascular/Heart defectCeliac diseaseDiabetesEpilepsy/Seizure disorderGlasses/contact lensesHeadachesHypertensionMental Health conditionNose bleedsRespiratory disorderNoneOther
AnxietyAttention-Deficit / Hyperactivity Disorder (ADHD)Autism Spectrum DisorderDepressionEating DisorderObsessive-Compulsive DisorderPanic attacksPhobiasPost-traumatic stress disorder (PTSD)SchizophreniaSeparation AnxietySocial phobiaWandering, Eloping, Bolting or RunningI do not wish to discloseOther
List any allergies, especially food. Write N/A if the participant doesn’t have any restrictions*
Health Insurance

In the event of a medical emergency, the following information is necessary.
Insurance Provider*
Insurance Company Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Policy Number*
Group Number*
Parent/Legal Guardian Information
Parent/Legal Guardian's Name*
YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian's Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Legal Guardian's Email*
example@example.com
Parent/Legal Guardian Permission Release
I am the parent or legal guardian of the participant. I hereby release- and forever discharge- The Orthodox Church in America (OCA), the OCA Diocese of New York and New Jersey, the OCA Diocese of New York and New Jersey's Department of Youth Ministry, and each and every one of its agents (hierarchs, employees, volunteers, insurers, attorneys, or any other person(s) associated with them) from any and all liability, for all personal injuries known or unknown that the youth named may incur due to reasons unrelated, but not limited to, negligence by participating in activities conducted, sponsored, or associated with the event stated above.

I understand that the coordinators reserve the right to remove any participant, chaperone, or volunteer from the event should said individuals engage in any behavior deemed to be unacceptable, including bullying, the use or possession of illegal drugs or weapons, use of alcohol, or participating in inappropriate sexual behavior.

In the event of an emergency I, or a responsible party, may be reached at the following telephone numbers:
Emergency Contact #1*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2*
Please enter a valid phone number.Format: (000) 000-0000.
Also, in the event that I cannot be reached in the case of emergency, I do hereby authorize a physician selected by the coordinator of this event to administer emergency treatment including medications, diagnostic tests, surgery, or other medical intervention deemed necessary by the physician.

I, the undersigned, have read this release and understand all its terms. I execute it voluntarily on behalf of myself and the participant named above and with full knowledge of the significance to bind all persons. In witness whereof, I consent to this release by typing my name below:
Parent/Legal Guardian's Signature*

Clear
Emergency Contact

In the event of an emergency, please list the name, relationship, and phone number of the individual we should contact.
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Format: (000) 000-0000.
Relationship to you*
Event Pick-Up
If the parent/legal guardian is unable to pick up the participant, this individual is authorized to do so:*

First NameLast Name
Relationship to Participant*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
OCA Diocese of New York & New Jersey - Department of Youth Ministry Media Release Form

Sign ONLY IF if you agree with the below.
I hereby authorize and consent to the use of my/my child’s visual image by the Orthodox Church in America (OCA), the Diocese of New York & New Jersey, and the OCA’s Diocese of New York & New Jersey Department of Youth Ministry for appropriate purposes, including but not limited to: still photography, video, electronic and print publications, the OCA’s Diocese of New York & New Jersey Department of Youth Ministry social media pages on Facebook, Instagram, YouTube, and websites.

In witness whereof, I give this consent with no claim for payment by digitally signing my name below:
Parent/Legal Guardian's Signature

Clear
Chaperone's Signature

Clear
Instructions following submission
Don’t forget to bring a white or gold altar server stikhar (vestment) with you!

We look forward to you being with us on May 2 or May 9!

If you have any questions, please email Fr. Martin Kraus.
Should be Empty:

2026 Altar Servers Retreat

Attendee Information

Health Insurance

Parent/Legal Guardian Information

Parent/Legal Guardian Permission Release

Emergency Contact

Event Pick-Up

OCA Diocese of New York & New Jersey - Department of Youth Ministry Media Release Form

Instructions following submission