First Communion - 1923 - Sacred Heart Church, New Philadelphia, PA
My great-aunt Birute (Birutha) is 4th from the right in the 2nd row.
The Sunday school teacher, who I believe was Anthony Gudaitis, is standing on the right. I don't know who the priest was.
Here is the sign, blown up, enhanced, and straightened out.
Translates to: First Holy Communion - 1923 - New Philadelphia, PA"

Studio: Staneika Studio - St. Clair, PA