Pastoral care request form -- Emerson UU Church
In addition to the Joys, Sorrows, and Milestones cards available to you in the Sanctuary, 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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Your name *
The person filling this out
Your email address *
Your phone number *
What joy, sorrow, or milestone would you like to share? *
If you are completing this form on behalf of someone else with their permission, please provide your name and email address or phone number: *
Would you like someone to contact you? *
What is the best way to contact you? *
What is the best time to contact you? *
I am a... *
Would you like this joy/sorrow/milestone to be held up in the LPMT’s monthly circle of prayer?  *
Thank you for sharing.
Don't forget to click "Submit" :)
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