March 2013 Dear Brothers and Sisters in Christ, With the blessing of His Eminence, Archbishop Nathaniel, the Auxiliaries of the Romanian Orthodox Episcopate of America invite you and your family to the first Family Life/All-Auxiliaries Conference being held July 4–7, 2013 at the Vatra Romaneasca. This will be the 65th time that ARFORA will gather, the 62nd time that our young people (AROY) will do so and the 48th meeting of the Brotherhood. In addition, the Planning Committee has prepared a program for the entire family that includes workshops on a variety of themes and for all stages in life, a series of workshops particularly for Clergy and Church School Teachers, a Bible Challenge and Oratorical Festival to encourage us to think more deeply about our faith and begin to articulate it to others, tours of the Vatra (our “hearth”) as well as a rich array of worship services, community building events, and opportunities to socialize and enjoy the company of our family and friends. Come and enjoy an Old-fashioned Romanian-American Picnic with music and activities for the whole family on Thursday July 4th, a Cultural Talent Show on Friday evening—Romanians Got Talent, graciously hosted by the parishioners of St. Mary’s, Chicago, and a Cotillion Dance on Saturday evening. Overall, we have tried to create an event that honors our past while also meeting the needs of our present and provide a model for moving forward to the future. This mailing includes all the information for the Conference. • Program of the Conference • Oratorical Contest and Bible Challenge Information • Registration form (with Permission form for Minors) • Housing Options • Conference Souvenir/Program Book Ad Contract

(Booklet contributions help to defray the expenses associated with the conference. This year, we are planning to include a number of archival photos from the various Auxiliary gatherings and the Vatra over the years. We invite all to submit their photo contributions and especially encourage sponsorship of these pages.)

• Cotillion Debutante Information and Application Form

So, mark your calendars for July 4–7, 2013! We invite you all to draw near, with faith and love, gathering with us as a Church Family at the Vatra this year. In Christ, Members of the Planning Committee

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Conference Program

(as of 3/26/13; Subject to Change) ***All events held at the Vatra except for those on Saturday Evening

Thursday (7/4) • 9:00 am AROY Board Meeting • 12:00 noon Lunch (Open to All) On-site Registration Opens • 1:00 pm AROY Field Day (Pick up games – Rain or Shine; Open to All)

ARFORA Board Meeting • 4:00 pm Conference Opening Prayer Service

Family Picnic/Cookout (Romanian-American Music, Games and Children’s Activities, plus the “Vatra Olympics” for all)

Friday (7/5) • 8:00 – 8:30 am • Morning Prayers • Registration • 8:30 am • Flag raising • ARFORA Coffee Shop Open • 9:00 – 10:15am (Morning 1) • ARFORA — Meeting1 • Church School Teachers — Workshop 1 • AROY — Workshop1: History of AROY • Possible Clergy Workshop: Dealing w/ Youth • Youth — Vacation Church School (VCS)/ChildCare 1 • 10:15 – 10:45 am • Morning Break • 10:45 – 12:00 noon (Morning 2) • ARFORA — Meeting2

• AROY — Workshop2: Community Building (AROY only) • Workshop (Open to all, especially for Parents, Advisors, Clergy) • “Keeping our Kids in the Faith”

- Jen Nahas, National Executive Director Orthodox Christian Fellowship (OCF)

• Workshop (Open to all) • “Monasticism and the Parish” (talk to be given in Romanian)

- Mother Gabriela, Abbess Holy Dormition Monastery

• Youth — VCS2/ChildCare 2 • 12 – 2:00pm (Lunch/Free Time) • ARFORA/Women Luncheon w/ Speaker (Open to All Women) - Kh. Stephanie Yova Yazge, Ph.D. – Past President, AROY • Lunch (All Others)

• Free time – Visit Displays/Bookstore, Vatra/Heritage Center Tours, Confession available

2:00 pm • Afternoon Worship Service • 2:30 – 3:45 pm (Afternoon 1) • Oratorical Festival (Jr AROY, Sr. AROY, Adult divisions) • 3:45 – 4:15 pm • Afternoon Break • 4:15 – 5:30 pm (Afternoon 2) • ARFORA — Meeting3 (if necessary) • Church School Teachers — Workshop2

• Workshop (Open to All) • “Mother Alexandra and the Beginnings of Monasticism

in America” - John J. Regule, Attorney - Mother Christophora, Abbess, Holy Transfiguration Monastery

• Possible additional workshop - “Drawing Near to God in Liturgy”

2 • AROY - Sports Follow on

• Youth—VCS3/Child Care 3 • 5:30 – 7:00 pm Break/Free Time • 7:00 pm • Dinner

• 8:00 pm • Bible Challenge • Followed by Cultural/Talent Show – “Romanians Got Talent”

• Bonfire for AROY Saturday (7/6) • 8:00 – 8:30 am • Morning Prayers • Registration • 8:30 am • Flag raising • ARFORA Coffee Shop Open

• 9:00 – 10:15am (Morning 1) • CEOYLA/AROY and Orthodox Unity in America (Open to all) - Ron Muresan, Past President, AROY and CEOYLA

• Church School Teachers and Parents—Workshop 3 • “Making God Real in the Orthodox Christian Home” • Clergy and Clergy Wives Discussion/Panel:

• Balancing the Stresses of Parish/Family Life - Lead by Fr. Ian and Psa. Mary Lynn Pac-Urar

• Youth — VCS4/ChildCare 4 • 10:15 – 10:45 am • Morning Break • 10:45 – 12:00 noon (Morning 2) • AROY — Meeting

• ARFORA — Meeting4 (if necessary) • Workshop (Open to All)

• “Parish Outreach in the Tradition of St. Basil: The Experience of Orthodox Detroit Outreach” - Matthew McCroskery, Orthodox Detroit Outreach

• Youth — VCS5/ChildCare 5 • 12:00 noon • Memorial Service for all Departed

• 12:30 – 2:30 pm (Lunch/Free Time) • Luncheon w/ Speaker: Christian Leadership (Open to all, especially AROY/ARFORA/Brotherhood)

- Jen Nahas, National Executive Director Orthodox Christian Fellowship (OCF)

• Followed by Open Discussion: Re-imagining Our Auxiliaries • Free time – Visit Displays/Bookstore, Vatra/Heritage Center Tours, Confession Available

• 2:30 – 4:00 pm (Afternoon) • Brotherhood — Meeting • AROY — Vatra Service Project/ODO Service Project • Service Project (Open to all): Helping Orthodox Detroit Outreach

Prepare Lunches for the Needy • Possible Additional Workshop: Inviting Others to Our Faith: Missions • Music Rehearsal • Youth — VCS6/ChildCare 6

• 4:00 pm • Vespers (Confession available) • 4:45 – 7:00 pm • Break/Free Time • 7:00 – Midnight ****Evening Events Held at Our Lady of Fatima Roman

Catholic Church, 913 Napoleon Rd., Michigan Center, MI 49254 • Dinner

• Debutante Presentation and Cotillion Dance

Sunday (7/7) • 9:00 am • Music Rehearsal/Confession • 10:00 am • Liturgy • Reception — All Displays Open • ~12:30 pm • Banquet

• Awards Presentations: Oratorical Contest, Bible Challenge winners, AROY and ARFORA Scholarships

• Afternoon • Auxiliary Board Meetings/Post-Conference Planning Committee Meeting

(Wednesday (7/3) - 7:00 pm - Pre-Conference Planning Meeting/Brotherhood Board Meeting)

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Educational Initiatives at this year’s Family Life Conference…

* BIBLE CHALLENGE Exploring the Gospel of Mark

In preparation for the BIBLE CHALLENGE at this year’s Family Life Conference, with the blessing of His Eminence Archbishop Nathaniel and the cooperation of our Department of Religious Education, we encourage an Episcopate-wide study of the GOSPEL OF MARK. Mark is the Gospel reading on many of the Sunday Divine Liturgies in Great Lent, and is considered to be the first written account of the life and message of our Lord and Savior, Jesus Christ. We encourage all parishes to study this text during this pre-Lenten, Lenten, and Paschal season and then come to the Family Life Conference and compete in the BIBLE CHALLENGE.

Study guides and practice questions are available at: www.orthodoxyouth.org/Mark.

ANY 3 people can form a BIBLE CHALLENGE team. (Mom, Dad, kids…)

The winning team’s parish will receive $1,000, donated by The Orthodox Brotherhood! For more information, contact: Teva Regule (teva@mit.edu) or Fr. Ian Pac-Urar (pacurar@zips.uakron.edu.)

* ORATORICAL FESTIVAL

“Re-imagining my Church Family… Staying connected and growing in the faith in our 20s… Our Service to the Lord in Liturgy and Life…”

These are the themes of the first Oratorical Contest of our Episcopate. We’ve designed the contest so that youth and adults alike feel encouraged to think more deeply about our faith and to begin to articulate it to others. We plan to have 3 divisions with scholarship prize money available for the winners! Contestants should each build their essay using the resources of our faith—the Bible, Liturgy, Ancient and Modern Church writings—as well as their own experience. Oratories will be judged on theological content, coherence of thesis, and delivery. All contestants should submit the final version of their oratory in advance to the Chair by June 21, 2013. Chair: Ron Muresan (ronmuresan@hotmail.com)

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Oratorical Festival (continued): • Teen/Jr. AROY division (12–18 yrs.)

Theme: “Re-imagining my Church Family: Who is my Family and What does this mean to me?”

Study the Parable of the Good Samaritan (Luke 10: 25–37) and apply it to your life today. Oratories should be 4–7 minutes in length.

• Young Adult/Sr. AROY division (19–30yrs.) Theme: “Staying Connected and Growing in the Faith in our 20s: Challenges and Opportunities”

The experiences and decisions of early adulthood often set the foundation for a large part of the rest of our adult lives. Explore the challenges and opportunities of connecting and growing in the faith during this time in our lives from the resources of our faith. Topics may include experiences of the college years, first jobs, relocating to a new city, marriage and/or first serious relationship.

Oratories should be 5–8 minutes in length. • Adult division (31+ yrs.)

Theme: “Our Service to the Lord: In Liturgy and Life”

The theme of our conference is “With Faith and Love, Draw Near.” These are the words of invitation to receive and become more fully the Body of Christ. As members of the Church, we are called to gather as the Body of Christ, enlivened by the Holy Spirit and become a light for the entire world. We do this when two or three are gathered in His name. In the Liturgy, we offer ourselves and the work of our hands in the form of bread and wine which we receive back as the Body and Blood of Christ so that we may participate in His Life. After the Liturgy, we are all called, to continue this work day by day, for the continuing sanctification of the whole world.

Explore and connect some of the challenges and opportunities of service in liturgy and life. What are the implications of this work for strengthening the entire Church, our local parish, and/or our own relationship with God?

Oratories should be 7–10 minutes in length.

* Church School Teacher Workshops Calling all Church School Teachers and Parents

We encourage each parish to send at least one Church School Teacher to this year’s conference. The conference will include a number of workshops especially designed for Church School Teachers (and parents) to share their experiences of teaching our faith and develop new ways of doing so. Come and meet others who are engaged in this ministry and bring back new ideas for your parish!

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 Conference Registration Form and Package Pricing

Name*______________________________________________________________________________ Street Address*_______________________________________________________________________ City/State/Zip/Country*_________________________________________________________________ Email*_______________________________________________ Phone* _________________________ Home Parish*_________________________________________________________________________ • Mandatory fields Minor Name(s):

***All minors must be accompanied by parent, legal guardian or supervising adult over age 25. • Completed, Signed, Minor Permission Form Included _________

• List Name(s) and age(s) of minor(s); Indicate whether signing up for AROY activities, Youth Camp (Ages 7-12) and/or Child care (Ages 3-6) (No extra charge; Included in Conference Registration):

___________________________________________________________

___________________________________________________________

___________________________________________________________ Conference Registration Amount Included*: $ (USD) _____________ * See back of this form for Conference Registration pricing. **Make all checks payable to “Orthodox Brotherhood USA—Family Life Conference.” ***Send to Adelina Balog, 764 S. Mitchell Ave., Elmhurst, IL 60126

****After Expenses and a Contribution to the Episcopate, any Conference proceeds will be split among the three auxiliaries. Circle (all that apply): Youth/AROY ARFORA Brotherhood Delegate for_________

Church School Teacher Debutante Clergy General Attendee In order to help us plan venues, please circle any/all additional workshops that you might like to attend:

• Fri Morning 2: • “Keeping our Kids in the Faith” • “Monasticism and the Parish” (talk in Romanian) • Fri Afternoon 2: • “Mother Alexandra and the Beginnings of Monasticism in America”

• Possible Offering: “Drawing Near to God in Liturgy • Sat Morning 1: • “AROY/CEOYLA and Orthodox Unity in America

• “Balancing Stresses of Parish/Family Life” • “Making God Real in the Orthodox Christian Home

• Sat Morning 2: • “Parish Outreach in the Tradition of St. Basil: The Experience of Orthodox Detroit Outreach” • Sat Afternoon: • Orthodox Detroit Outreach Service Project

• Possible Offering: Inviting Other to Our Faith: Missions List any Special Needs_________________________________________________________________

* We will make every effort to accommodate, but cannot guarantee compliance.

I am unable to attend the Conference, but would like to contribute to support this Initiative $ (USD)_____ *Unless otherwise desired, Contributions will be listed in the Patron section of the

Conference Program/Souvenir Booklet.

!"#$%!&'()!*+,-./01/!234/56/78/

  2  • The Conference Registration Package Base Price of $120 includes:

• ROEA Contribution $10 (Contribution to the Episcopate) • Program Contribution $10 (Includes all Meetings, Workshops, Speaker

Honoraria, Materials, Youth Camp, Child Care) • Thursday (all day) $10 (All-day: Includes both Lunch and Picnic Dinner) • Friday Lunch $10 • Friday Dinner and Evening $15 • Saturday Lunch $10 • Saturday Evening $20 (Dinner and Cotillion Dance) • Sunday Banquet $15

• Coffee Shop Credits $10 (*The ARFORA Coffee Shop will be providing breakfast and snack items.)

• Refreshment Credits $10 (Can be used for purchase of soft drinks and for adults, beer and wine.)

------- Total: $120 base price Discounts as follows: • Early-bird Registration (before May 15)

• Adult $100 (Couples - $190) • Student (13–21)/Senior (65+retired) - $75 ($5 Coffee Shop and $5 Refreshment Credits) • Kids (7-12) - $50 ($5 Refreshment credits)

• Families (Two Parents and Kids <18 yrs.) - $300 ($25/ea – ROEA and Program Contribution, Coffee Shop and Refreshment Credits)

• Advanced1 Registration (May 16-June 10) • Adult $110 (Couples - $210)

• Student/Senior - $80 • Kids (7-12) - $55 • Families - $325 • Advanced2 Registration (June 11-July1)

• Adult $115 (Couples - $220) • Student/Senior - $85 • Kids (7-12) - $60 • Families - $350 • Onsite Registration Package (After July 1) • Adult $125 (with Coffee Shop and Refreshment Credits, unlike individual pricing below) • Couples - $230 • Student/Senior - $90 • Kids (7-12) - $65 • Families - $375 • Kids (6 and under) – Free ••••Complimentary Registration for Clergy and Debutantes prior to June 1 • On-Site and Individual Pricing • Thursday (all day) $15 Section A: • ROEA Contribution (for all who buy tickets for any activity in Section A) $10 • Program Contribution (for all who buy tickets for any activity in Section A) $10 • Friday Lunch $12.50 • Saturday Lunch $12.50 Section B: • Friday Dinner and Evening $20 • Saturday Evening $25 • Sunday Banquet $20

Total $125 (Does not include Coffee Shop or Refreshment credits of $20; $145 Comparable base price)

• Discounts for On-Site and Individual pricing: • Students/Seniors – 75% price • Kids (7-12) - 1/2 price • Kids (6 and under) – Free ••• Cancellation/Refund Policy: 25% Cancellation Fee if cancelled prior to July 1. (Non-refundable after July 1.)

The Romanian Orthodox Episcopate of America

2013 All Auxiliaries/Family Life Conference (Conference)

Permission form for minors attending the Conference

All minors, under the age of 18, must be accompanied by his/her parent, legal guardian, or supervising adult over 25 years old during the Conference.

I am the parent/legal guardian of __________________________, a minor. I understand that my child is expected to participate in the religious services and conference activities and is expected to obey Vatra rules and follow Conference procedures. I understand that I am responsible for my child. I am naming, ____________________________, cell phone #__________________as the supervising adult should I not be present. The supervising adult is aware of any medical or emotional conditions necessary for my child’s health and wellbeing. I also have given the supervising adult all medical and insurance information should medical attention be necessary. I consent to the supervising adult making medical decisions if there is an emergency and neither parent/guardian can be reached. RELEASE AND WAIVER OF LIABILITY (PLEASE PRINT CLEARLY IN ALL BLANK SPACES) The undersigned each understand that attending a Conference in a country setting involves possible risks of serious injury, including but not limited to, open and uneven terrain, stairways, building fires, recreational sports, and adults, children, staff and/or volunteers who may accidentally or deliberately pose or create hazards of injury or death. We understand that the Conference Sponsors have made reasonable provision for each participant’s safety, but nonetheless the risk of injury does exist. For ourselves, each other, our child, our other children, heirs, successors, and personal representatives, we and each of us do hereby assume all risk of personal injury or death. We waive, release and indemnify all of the following Conference Sponsors: The Romanian Orthodox Episcopate of America, AROY, ARFORA, The Orthodox Brotherhood of the USA, The Orthodox Brotherhood of Canada, and ARCOLA, and all individual staff members and volunteers from any and all claims, damages and costs for any injuries, ailments and damages which our child or either of us may experience which may arise by attending the Conference, both on and off of Episcopate property, and including the time our child leaves home for the Conference until his/her return home. This Release and Waiver shall be binding regardless of whether there is any evidence of negligence on the part of any Conference Sponsor or of any of its duly authorized staff personnel or volunteers. We understand and agree that this Waiver and Release shall be interpreted according to the laws of the State of Michigan. FATHER'S NAME (PRINT)____________________ SIGNATURE ______________________________ ADDRESS: _________________________________________________________________________________ Street City State Zip Code DAYTIME TELEPHONE: ( ) _________________ EVENING TELEPHONE: ( ) _____________________ MOTHER'S NAME (PRINT)____________________ SIGNATURE ______________________________ ADDRESS: __________________________________________________________________________ Street City State Zip Code DAYTIME TELEPHONE: ( ) ________________ EVENING TELEPHONE: ( ) _____________________

Conference Housing Options

***Discount Code for all motels is “ROEA” All guests register and pay individually.

• Baymont Inn 2035 Bondstell Dr., Jackson, MI 49202 517-789-6000

http://www.baymontinns.com/hotels/michigan/jackson/baymont-inn-and-suites-jackson/hotel-overview Mix of King and Queen options available. (Conference needs at least10 reservations in each category for discounted rate.)

1 King bed/room (max 3 occupants) - $90 (plus tax) 2 Queen beds/room (max 5 occupants) - $95 (plus tax) • Hampton Inn 2225 Shirley Dr., Jackson, MI 49202 517-789-5152 http://hamptoninn3.hilton.com/en/hotels/michigan/hampton-inn-jackson-JXNMIHX/index.html

Mix of King and Queen options available. (Conference needs at least 10 reservations in each category for discounted rate.) 1 King bed/room - $119 (plus tax) 2 Queen beds/room - $119 (plus tax)

• Fairfield Inn 2395 Shirley Dr., Jackson, MI 49202 517-784-7877 http://www.marriott.com/hotels/travel/jxnfi-fairfield-inn-jackson/

Mix of King and Queen options available. (Conference needs at least 10 reservations in each category for discounted rate.) Discount rates have not been confirmed. Call hotel for ROEA rates.

• Housing is also available at Ascension Monastery. If interested, contact the monastery directly. ***Any Conference Workers have the option of staying on the Vatra grounds free of charge (e.g. Dormitory or ARFORA House.) Volunteers needed. Contact Ron Muresan by June 1: ronmuresan@hotmail.com.

2013 Family LifeConference

Souvenir BookAd Contract

Contact InformationName _______________________________ Organization (if applicable) _______________________

Address __________________________________________________________________________

City ________________________________ State _____ Country ________ Zip __________

Email _________________________________ Phone _________________________

Ad Size & Cost (please check one)

r Patron Listing r Quarter Page r Half Page r Full Page Amount $______ $45 $75 $120

r $120 - Page or Picture Sponsor ___________________________________________________

Please make checks payable to: “Orthodox Brotherhood USA-Family Life Conference” (All conference proceeds will be split between the 3 Auxiliaries)

Ad Submission (please check one)r Ad copy is written below or attached hard copy. Mail this and check to --->r Email ad contract & copy. Mail Check to --->

Acceptable File formats:Pictures: jpegAds: May be hand written or submitted electronically via Word or PDF files only.

David Zablo 6310 Woodmoor Ave. NWCanton, Oh 44718330-571-5094email: FLCadbook@gmail.com

(Indicate here the Page or Picture you wish to sponsor)

Deadline for Ad Submission: May 25

Ad Copy Here. Please write Legibly or Send via electronic. Pictures and artwork must be good quality and will not be returned.

Deadline for Ad Submission: May 25 July 4–7, 2013

Vatra Romaneasca

 

   

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2013 AROY Cotillion Ball Debutante Information  

This year, like many in the past, the Auxiliaries of the church would like to celebrate the turning point or “coming of age” of our church youth with a debutante ball. In the past, this event was held during the American Romanian Orthodox Youth (A.R.O.Y.) Conference. This year we are starting a new tradition with all the Auxiliaries of the church joining together as a church family to welcome both the boys as escorts and the girls as debutantes into this new age.

During this event, there is a formal presentation where each escort will first escort the mother of the debutante. At that time the mother and escort will be introduced. The Master of Ceremonies will also share some information about the escort, including his high school involvement, plans after high school graduation, along with his church and spiritual involvement. The debutante will then be presented with her father or another male family member. Like the escort, the debutante will be introduced and her information will be shared as well. Following the formal presentation, we will spend the evening as a church family dancing, sharing memories, and creating new ones.

Information you need to know: The Debutante: You must be an active member of the Orthodox Church, age 15-19. The Dress: A floor length white ball gown. Your shoulders must be covered for the presentation. Your Escort: You may choose an escort yourself from among your male friends and family OR the planning

committee will find an escort for you. **We ask that you choose someone who has not been an escort more than once before to allow for different young men to have the opportunity to escort the young ladies of our church. The escort MUST be a practicing Orthodox Christian between the ages of 15 and 19.**

Your Hair: You will have the opportunity to get your hair done at the Vatra by a professional stylist at a discounted rate.

Photos: Formal photos will be taken prior to presentation. Formal pictures will include photos of the debutante alone, with her family, with her escort, and a group photo.

Attendance: Your attendance is requested throughout the entire Family Life Conference. There will be many events in which the debutantes AND escorts will be presented and introduced. You will be provided with a complimentary conference registration package deal, including tickets to all events and nametags clearly identifying you as a debutante. A full schedule for the debutantes will be given out at a later date. Some of the events the debutantes and escorts will be asked to attend include: AROY events such as AROY field day, AROY bonfire, and AROY workshops; a debutante luncheon (for debutantes, their parents, and escorts); and the Sunday banquet after Liturgy. ***It is expected that debutantes and escorts will be an example for their peers and will attend church services.***

Registration: To register, please fill out the form on the back of this sheet along with the following: • A 5x7 photo of yourself. This must be clear enough to use in a display and/or formal program. • A registration fee of $25.00 to confirm your spot as a debutante. (This fee will be waived if the debutante participates in the Oratorical Festival on Friday, July 5th in the afternoon of the Family Life Conference.) • An attached document with answers to the following questions:

(1) Re-imagining my Church Family: Who is my Family and what does this mean to me? (This is also the question for the Oratorical Festival. Study the Parable of the Good Samaritan (Luke 10: 25–37) and apply it to your life today.) (2) What has been the most influential/meaningful activity in which you have participated through the church and why? (3) How has your spiritual life helped you to become the person you are today? (4) Why is it important to stay active in the church past high school? And how will you stay active in your church in the years to come? (5) Random Questions:

(a) What did you want to be when you were a kid? (b) If you had a million dollars, what charity would you donate to and why? (c) Favorite Bible verse

REGISTRATION DEADLINE IS MAY 31, 2013

For questions or more information: Please contact Cotillion Planning Members Jessica Precop (jprecop@gmail.com 734-776-0805) or Bethany Avramaut (bavramau@kent.edu 440-781-6188)  

 

   

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2013 Debutante Registration Form

Personal Information

Full Name: _______________________________________________ Date of Birth ______________

Street Address ________________________________ City ______________ State ____ Zip ______

Phone Number: _____________________________ Email Address: __________________________ Family Information

Parentsʼ Names: _____________________________________________________________________

Immediate Family: ___________________________________________________________________

School Information

High School: __________________________________________________ Grade: ____ GPA: _____

School Activities: ____________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Activities Outside School/Hobbies: _____________________________________________________

___________________________________________________________________________________

Plans after High School: ______________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Parish Information Local Parish: __________________________________________ City ________________ State ____ Church Activities: ___________________________________________________________________

___________________________________________________________________________________

Escort Information** Escortʼs Name: _______________________________________ Parish: _______________________ Street Address _________________________________ City ______________ State ___ Zip ______

Phone Number: _____________________________ Email Address: __________________________ ** Please note that if you do not have an escort in mind, the planning committee will be able to pair you with

one. The planning committee will contact escorts at a later time to gather information needed for the presentation. Please send completed forms to:

Bethany Avramaut 7691 Princeton Place, Middleburg Hts., Ohio 44130.