Christ Covenant Church COVID Care
The people of CCC are eager to help you, our neighbour, in whatever way we can. Just fill out the form below, and we'll do our best to help you, in Jesus' Name.

We're doing this simply because we know that God wants us to look not only to our own interests, but also to the interests of others (Philippians 2:4) and also to "Bear one another's burdens, and so fulfill the law of Christ" (Galatians 6:2).
My name is *
Your answer
Number of persons living with me (including me) *
Your answer
My phone number
We will not use this for anything else.
Your answer
I can receive text messages at this phone number.
Email address
Your answer
My city/neighbourhood *
You may give us your address if you need us to come by.
Your answer
I need help with *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy