In Person Synodal Listening Session - English Language - St. Malachy

Date: 04/02/2022 (Sat.)

Time: 9:00am - 11:00am EST

Location: St. Malachy Parish, 1429 North 11th Street, Philadelphia, PA 19122

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* 1. Registration Information

Name

Email Address

The Holy See has asked each diocese to provide information about who is participating in the report that is sent. Please tell us a little bit about yourself:

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* 2. Age

Under 30

31-50

51-70

Over 70

None of the above

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* 3. Gender

Male

Female

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* 4. Ethnicity

Black or African-American

Asian-American

Caucasian

Hispanic/Latino

Middle-Eastern or North African

Native American

Other (please specify)

The Archdiocese is committed to providing an accessible process for the Synod listening sessions that enables all to engage fully including individuals with disabilities. Please list accommodations needed when you register for a session. For more information about accessibility contact: Sister Kathleen Schipani at sr.kschipani@archphila.org or 215-587-3530

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* 5. Please note any accommodations needed:

ASL Interpreter

Program in Braille

Large Print Program

Wheel Chair Access

Electronic copy in a word doc sent in advance

Adaptive material for an individual with ID

Other (please specify)