Caregiving and Pastoral Care Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form as an easy way to be in touch with Berkeley Friends Church about your needs and to schedule a time to meet with someone.

If you want to have someone to talk to or pray with, please fill out the form and one of our pastors or a member of Ministry and Council will be in touch!

Name *

Phone number

What is your preferred form of contact for this pastoral care visit? *

Phone call

Text message

Video Call

Clear selection

I'm interested in: *

Prayer

A devotional

Conversation

Advice about a specific issue

Other:

Required

Can you describe your availability, some dates and times, in the next two weeks that work well for you? *

What should we know about your needs? (This will be read only by our pastoral team and/or Ministry and Council.) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Forms