Bereavement Notification Form
The Deliverance Baptist Church family expresses our condolences during this time of bereavement. Although a loss of this nature is nearly a universal experience, we realize people handle these times in various manners. It is our goal to assist you in recovery from this experience while placing you on the path moving forward.

Remember, we are here to share Scriptures, resource materials and prayer in an atmosphere of safety and peace.

Take a moment to complete this form, and let us help you in your time of need.
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Contact Name (first and last)
Address
Phone Number
Email
Are you a member of DBC
Clear selection
Name of the Deceased
Is this person an immediate family member? *
When did the individual pass away? *
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/
DD
/
YYYY
If yes, then what is your relationship to the individual?
Are you considering DBC for the homegoing services?
Clear selection
If yes, what is the proposed date of service?
MM
/
DD
/
YYYY
Submit
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