Request Help
If we're able, we'd like to connect you with local resources that can help you with your need of food, fuel, and temporary housing. By filling in this form, Kings Mills Baptist Church is not making any commitment to help, but review your request and determining if we have the ability to do so. We will attempt to connect with you within a few days of your submission.
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
Description of Need
Please describe your need with as much details as possible. If we do not have a clear understanding of your need, we may not able to reach out or understand how to help.
Describe Your Need *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kings Mills Baptist Church. Report Abuse