- Catholics - McKees Rocks, Kennedy Twp., Robinson Twp. PA, PA

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HEAD OF HOUSEHOLD

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Gender

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Current Religion Roman Catholic Other

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Please check all that apply Single Married Married by a Catholic Priest or Deacon Married by a Minister, Justice of the Peace, etc. Widow/Widower Divorced Divorced/Remarried Separated Cohabit

Sacraments Received Baptism Penance Holy Communion Confirmation Marriage Holy Orders None

Is anyone in your household homebound or living in a nursing facility? Yes, homebound Yes, a nursing facility No

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SPOUSE

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Current Religion Roman Catholic Other

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Is it okay for us to text you? Yes No

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Special Interests/Talents i.e. photography, writing, technology, hospitality, etc.

Sacraments Received Baptism Penance Holy Communion Confirmation Marriage Holy Orders (Deaconate) None

CHILDREN

How many children are living in your household? REQUIRED Please fill out this field.
Child 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
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- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 5
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 6
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 7
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 8
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
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- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 9
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 10
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 11
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
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- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 12
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 13
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 14
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
- Languages Spoken Please enter valid data.
- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.
Child 15
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Gender
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- Sacraments Received Baptism Penance Holy Communion Confirmation None
- Does your child attend Faith Formation classes? Yes No My child attends a Catholic school
- School and Grade Please enter valid data.

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