Horizons Church Coronavirus Outreach
Thank you for your interest in helping the elderly and at risk population at Horizons.

We're in the process of assessing the current need and assembling volunteers. Our goal is to match one volunteer to one household in need.

If you're able to help shop for and deliver basic necessities like food, medicine, or household supplies for another family, please let us know by filling out the short form below.

Someone from Horizons will be in touch with more information.
First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Primary Phone *
Email *
I am comfortable helping: *
Required
Please indicate how you'd like to be reimbursed for your purchases: *
Required
Please confirm you are: *
Required
Emergency Contact First and Last Name *
Emergency Contact Phone *
Please review "Horizons Community Church Volunteer's Waiver and Release" here: https://tinyurl.com/t4t4n7u *
Required
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