Hurricane Ida Contact Form
Please complete the form below to let us know you are safe and to help us maintain contact with you and address your needs if possible.
Email *
Name *
Where are you currently? Home? Away?
How can we reach you? Are you accessible by cell phone?
Do you have any urgent needs? If so, please let us know what those are in case we are able to help you or find someone who can?
Do you have an emergency contact? If so, please provide that information.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Grace Lutheran Church. Report Abuse