Full Name (First + Last) *

Phone Number

Email Address *

Preferred Contact Method

Email

Text Message

Phone Call

I am interested in the following: *

Visitation (homebound, nursing home, assisted living)

Meal Delivery (Wednesday evening, freezer meals)

Card Ministry (meets midday monthly to send cards to persons who are homebound, in a nursing home or assisted living)

Congregational Care Ministry Team (help plan & coordinate the CC ministry; meets approximately quarterly)

Additional Comments/Questions

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