Homebound Registration Form
Cornerstone is starting a new ministry for members, or regular attendees, who are mostly homebound and lack social interactions due to age, illness, or mobility restrictions. We feel it is important that no one is forgotten simply because they are “out of sight, and out of mind.”  
Therefore, the purpose of this ministry is to provide  companionship, and prayer on a regular basis for anyone who falls into this “shut-in” category. The following list is a sampling of some things that would be provided:
• Monthly home visits
• “Check- in" phone calls on a regular basis
• Prayer opportunities
• Encouragement
If you, or someone you know, could benefit from this ministry please fill out the form below and return to the church office. Please contact the church office if you have further questions.
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I am registering for: *
Name *
Phone *
Address
Email
If you are registering for someone else, please fill out your information below.
Your name
Your phone
Your email
Your relationship with the homebound
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