2019 Care Request
This form is for submitting a CARE request for yourself or for a loved one from Light and Life Christian Fellowship. Our ministry is made up of volunteers and church staff that minister through home and hospital visitations, encouragement through calls and cards, and short term meal deliveries. Please let us know how we can serve you. Please provide accurate contact information, we will be in touch with you soon.
Your Name
Your answer
Your Phone Number
Your answer
I am requesting care for...
I am requesting
Please shortly describe the reason for the request...
Your answer
Name & Phone of person receiving care (if different than yourself)
Your answer
Address of person in need of care (Needed for card, visitation, and meal delivery requests)
Your answer
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