Pastoral Care Request
In addition to the Joys, Sorrows, and Milestones cards which will still be available to you in the Sanctuary once the church reopens, this electronic form is for Emersonians, Visitors, and Friends of Emerson to share these moments with the Lay Pastoral Ministry Team (LPMT), and to request contact by a team member.
NOTE: If you feel another member would benefit from contact with the LPMT, we strongly encourage you to have them complete this form themselves. We understand there are times when the individual may not be able to reach out personally, in that case you may complete this form on their behalf, with their permission.
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* Required
1. Email address
*
Your answer
2. Your Name
*
Your answer
3. Your phone number
*
Your answer
4. Would you like someone to contact you?
*
Choose one.
Yes, please have a member of the LPMT contact me
Yes, please have the Minister contact me
Yes, please have both an LPMT member and the Minister contact me
No, I do not wish to be contacted
5. What is the best way to contact you?
*
Check all that apply.
Phone
Email
Required
6. What is the best time to contact you?
*
Your answer
7. Please select one of the following. I am a _______:
*
Check all that apply.
Member of Emerson UU Church
Friend of Emerson UU Church
Visitor to Emerson UU Church
8. Your Joy/Sorrow/Milestone:
*
Your answer
9. Would you like your joy/sorrow/milestone to be held up in the LPMT’s monthly circle of prayer?
*
Choose one.
Yes
No
10. If you are completing this form on behalf of someone else with their permission, please provide your email name and email address or phone number:
Your answer
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