Pastoral Support

Name *

First Name

Last Name

Phone

(###)

###

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How can we help? *

I would like prayer

I am going into hospital

A relative is in hospital

I would like a lift to church

I would like to serve in the church e.g. welcome team, music, prayer, teas & coffees

I would like a visit

I would like a frozen meal provided from the gift ministry

I would like to know more about becoming a member of the church

I would like to know more about becoming a Christian

I am new to the area

Other

Consent *

I understand that my details will be stored in line with the Privacy Policy so my request can be responded to.