Priests and Transitional Deacons shall wear
their clerical attire. Candidates on ACTIVE
Duty (Military, Policemen and Firemen) may
wear their dress uniforms in lieu of Tux. No
candidate will be allowed to participate in the
Exemplification without the above-mentioned
proper dress. No Exceptions will be made.
A standard black tuxedo, black bow tie, black
cummerbund, white-pleated tuxedo shirt with
a standard “shirt type collar” (wing type
collars not allowed), black stud set, black
socks, plain-toe black shoes, white gloves.
Candidates must wear the Official Dress
of the Fourth Degree as described:
Candidate “no-shows” without a six (6) day
advance notice to the Master will be
assessed $30.00 from his exemplification
fee. Priests/deacons are exempt from this
assessment. If a Clergy is not able to attend,
his fee will be fully refunded to his Assembly.
The Candidate may purchase the optional
Sword Package for an additional $165.00,
which includes an etched sword, scabbard,
carrying case and service baldric.
Meal Tickets for all Sir Knights, their families and
guests must be purchased in advance through his
assembly comptroller.
Exemplification Fee is $70.00. The candidate
will receive a Social Package which includes
initiation and registration fees, social baldric,
Fourth Degree lapel pin, U.S. flag pin,
Combination pin and a Saturday banquet
ticket. Exemplification Fee for a priest/
deacon/seminarian is $30.00.
Be there to support your candidates
BANQUET: TUX WITH SOCIAL BALDRIC
FULL REGALIA. Members without color corps regalia
must wear the Official Dress with the Social Baldric
EXEMPLIFICATION & MASS: TURN OUT IN
Sir Knights Information
Sir Knights . . . . . . . . Tuxedo & Social Baldric
Ladies . . . . . . . Semi-formal or Sunday Dress
Clergy . . . . . . . . . . . . . . . . . . . . Clerical Attire
Active Military Personnel . . . . . Dress Uniform
Saturday Lunch Banquet
APPROPRIATE DRESS
Saturday Banquet Ticket . . . $ 30.00 Per Person
Candidates as guests of the Master will receive
one Saturday banquet ticket. Candidates must
purchase additional banquet tickets for their family
and guests in advance through his assembly.
Tickets will be distributed during registration.
Meal Tickets
Be a citizen of the United States
of America and a Third Degree
member in good standing with
the Knights of Columbus for at
least six months from the First Degree date.
Candidate Information
Please be on time!
order to maintain the weekend schedule.
THE EARNEST COOPERATION and
punctuality of all participants is required in
District Photographer SK Andrew Spies will
take a class picture immediately following
the Exemplification and individual pictures
prior to and during the banquet. Cost for
the pictures varies and prices will be
available at time of registration or call SK
Andrew at 281-850-2443.
Class & Individual Pictures
COMPTROLLERS: Please make sure all
Forms 4 are COMPLETELY FILLED
All paperwork & Assembly checks are
due to the District Comptroller no later
than: Friday, May 25, 2012
The Assembly Comptroller shall make sure
that the Form 4 is properly filled and
completed, then forwarded (intact) with the
Exemplification Package/Advance Meal
Ticket Form to the District Comptroller
SK Harry Hunter.
The Council Financial Secretary must
complete and sign Section 7 of the Form
4 to verify that the candidate is a Third
Degree member in good standing, and his
First Degree date and Membership
Number are correct.
Exemplification Paperwork
Registration & Fri. Night Dinner
St. Elizabeth Ann Seton Church-CLC
Exemplification Begins-CDH
Ladies Program Begins
St. Edith Stein Church
Candidates Class Picture
Line up for Exemplification Mass
Mass-SK Archbp Joseph Fiorenza
Main Celebrant
St. Elizabeth Ann Seton Church-CDH
9:30 AM
9:30 AM
11:30 AM
11:45 AM
12:00 PM
1:30-3:00 PM Exemplification Banquet
St. Elizabeth Ann Seton Church-CLC
Assemble for Exemplification
9:00 AM
7:30-9:00 AM Registration - Candidates & SKs
St. Elizabeth Ann Seton Church
Saturday, June 9, 2012
No Hospitality Suite - Hotel Bar Available
5:00-8:00 PM
No registration at the hotel
Friday, June 8, 2012
Schedule of Events
St. Edith Stein Church: 281-492-7500
3311 North Fry Rd, Katy, TX 77449
St. Elizabeth Ann Seton Church: 281-463-7878
6646 Addicks Satsuma Rd, Houston, TX 77084
Archbp Fiorenza Community Life Center-CLC
Cardinal DiNardo Hall-CDH (Gym)
Crowne Plaza Houston West: 281-558-5580
14703 Park Row Blvd, Houston, TX 77079
Location of Events
Coffee, tea & cookies
St. Edith Stein Church
10:00 AM, Saturday, June 9, 2012
Dress: Church attire Cost: Free
Saturday Ladies Program
5:00-8:00 PM, Friday, June 8, 2012
Dress: Casual Cost: $10
Archbp Fiorenza Community Life Center
St. Elizabeth Ann Seton Church
Friday Night BBQ Dinner
incl. beverage
This rate is good for Friday June 8 and
Saturday June 9 if you wish to stay the
whole weekend. The reservation deadline
is Friday, May 25, 2012. After this date,
this rate may not be available. Candidates
and Sir Knights must make their own
reservations. Ask hotel for the Knights of
Columbus rate for the June 8-9, 2012
weekend.
ROOM RATE - Tax not included
$75.00 - King or Double
Crowne Plaza Houston West - 281-558-5580
Must be made directly with
Hotel Reservations
Host Assembly
Father Emil Kapaun Assembly #2721
Katy, Texas
SK Peter Tan, District Master
First District of Texas
Our Lady of Guadalupe Province
Archbishop Emeritus
Archdiocese of Galveston-Houston
SK Most Rev. Joseph A. Fiorenza
Honoring
June 8-9, 2012
2012 Summer Exemplification
Houston, Texas
Instructions For
Members and Candidates
Participating in the
Knights of Columbus
Fourth Degree
Ver. 12/19/2009
Fourth Degree Service Baldric Measurement
For service baldrics only (social baldrics are one-size-adjustable so this form is not
necessary): Use this form to determine your required service baldric length. This
form is 3OT 3EEDED if your length is Regular. This form must be attached to the
Candidate’s “Exemplification Package and Advanced Meal ticket Form”.
Please
Check
Right Collarbone
To Left Hip
SIZE
2” Shorter
27”
1 Box:
Regular
29”
3” Longer
32”
Check One:
Collarbone
SIZE
Right Collarbone
To Left Hip
6” Longer
34”
8” Longer
36”
10” Longer
38”
Candidate ____
Sir Knight ____
Name: ____________________________
Assembly: ________________________
Phone Number: ____________________
Candidate: Add special length cost to ticket form
Sir Knight: Add total cost of baldric to ticket form
Cost:
Hip
1) Regular length baldrics cost $23 and are
included in the sword package cost of $235
2) Special length baldrics of 2” shorter and
6”-10” extra length will be additional cost
3) Please add the following to the $235 cost:
2” Shorter - add $5
3” & 6” Extra Length - add $5
8” Extra Length - add $6
10” Extra Length - add $7
Candidates: contact District Quartermaster Dan Polczynski, PF3
directly at 979-793-6877 or [email protected] if you need help. Sir Knights wishing to buy
swords, cases, baldrics, U.S. Flag, 4th Degree & Combo lapel pins, also contact DQ Polczynski.
Al’s Knights of Columbus Packages
4th Degree Tuxedo Packages
Polyester Package
• Notch Lapel Coat
(tropical weight poly)
• Pleated Pants
• White Tuxedo Shirt
• Black Tie & Cummerbund set • White Gloves & Suspenders • Black/Gold Stud & Cufflinks set. (tropical weight poly)
(lay down collar blend)
For only 149
$
Tropical Wool Package
• Notch Lapel Coat
95
(tropical weight wool)
• Adjustable Pleated Pants
• White Tuxedo Shirt
• Black Tie & Cummerbund set • White Gloves & Suspenders • Black/Gold Stud & Cufflinks set. (tropical weight wool)
(lay down collar blend)
for only White Dinner Jackets
Special price, only 219
$
95
109
$
LOW Prices. Guaranteed.
™
www.alsformalwear.com
contact: Kelvin Hanks
7807 Main Street
713-791-1885
email: [email protected]
To Members of the Knights of Columbus Fourth Degree & Candidates,
Per discussion with Mr. Kelvin Hanks on July 21, 2011, all Al’s Formal Wear
stores will honor these prices for 2011. If a certain store questions this flyer,
ask them to call Mr. Hanks at the phone number above.
SK Peter Tan, Master, First District • 713-382-5555 • [email protected]
95
The Fourth Degree of the Knights of Columbus
Rev. 3/1/12
Our Lady of Guadalupe Province - First District of Texas
Summer Exemplification - June 9, 2012 - Houston, Texas
Sir Knight's Exemplification Registration Package and Advance Meal
Ticket Form Instructions
Sir Knight: Please complete this form and submit it to your Assembly's Comptroller by May 18th, 2012, indicating the
number of Banquet tickets and Ladies' Program tickets needed.
All tickets will be distributed at the Exemplification Registration.
Name:
Assembly No:
Please Print
Please Print
Guest's Names:
Please Print
Friday Evening Social
Do you plan to attend the meal? Please check if YES
How many?
Ticket Cost
Tickets Required
Total Amount
Saturday Banquet
x
$
30.00
Saturday Ladies Program
x
$
-
Make checks payable to your Assembly for this amount
TOTAL AMOUNT DUE
Exemplification Hotel
Crowne Plaza Houston West - $75 King or Double (including 2 drinks @ the bar)
14703 Park Row Blvd, Houston, TX 77079
281-558-5580
*** Deadline for hotel reservation is Friday,May 25th, 2012. ***
The Fourth Degree of the Knights of Columbus
Rev. 3-1-12
Our Lady of Guadalupe Province - First District of Texas
Summer Exemplification - June 9, 2012 - Houston, Texas
Candidate's Exemplification Registration Package and Advance Meal
Ticket Form Instructions
Candidate: You are the guest of the Master and will receive one (1) complimentary Banquet ticket. Please complete this form
and submit it to your new Assembly's Comptroller by May 18th, 2012, indicating your choice of exemplification package,
number of Ladies' Program tickets and additional Saturday Banquet tickets needed.
All tickets will be distributed at the Exemplification Registration.
Name:
Assembly No:
Please Print
Please Print
Guest's Names:
Please Print
Candidate Exemplification Package (select 1 package only - $70 OR $235 AND special baldric)
Amount
Social Package: $70.00 (Initation Fee, Social Baldric, 2 Lapel Pins and 1 Saturday Night
Banquet Ticket if box is checked)
OR
Sword Package (optional): $235.00 (Social Package plus Sword & Case, and Service Baldric)
Circle Required Service Baldric Measurement : minus 2", Reg, +3", +6", +8", +10"
(Refer to the "Service Baldric Measurement" form to determine correct length)
Friday Evening Social
Do you plan to attend the meal? Please check if YES
How many?
Saturday Banquet
Candidate Attending ? (Please check this box or you won't receive a ticket)

Ticket Cost
Tickets Required
x
$
30.00
Candidate's Guests
Saturday Ladies Program
x
$
-

Amount
$
-
$
-
Prorated assembly dues and name badge cost (optional use by your Assembly)
Make check payable to your assembly for this amount
$
TOTAL AMOUNT DUE
------------------------------------------------------------- 
Exemplification Hotel
Crowne Plaza Houston West - $75 King or Double (including 2 drinks @ the bar)
14703 Park Row Blvd, Houston, TX 77079
281-558-5580
*** Deadline for hotel reservation is Friday,May 25th, 2012. ***
-