Congregational Connection Care Request
Let us know if you need some help, if you can help, or if you know someone who needs help.
Your Name: *
Your answer
Phone number (no dashes) *
Your answer
email contact: *
Your answer
Address
Your answer
Reason for request *
Required
Name of person who needs help (if not you)
Your answer
Help Requested (Within social distancing guidelines, as available)
Additional details of what is needed
Your answer
Submit
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