Name:
Address:
City:
Home Phone:
Work Phone:
Email:
Day Preferences (Please list Day of Week):
Time Preferences (Morning, Afternoon, Evening):
I would like to be in a group of: Intergenerational Young Adult Teen Senior Young Married
I would host a small community in my home:
I need transportation:
I need babysitting:
Additional Comments:

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For a personal response to questions & answers concerning the Catholic faith, you can email Flo Fitch at flofitch@hotmail.com