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General Care Form
Everyone goes through life circumstances. Awakening Church cares!
Let us know how we can help you.
Your name
*
Last name
Email address
*
Phone Number
Phone type
Mobile
Home
Work
Other
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Age?
*
How can we care for you?
Select any which apply.
Financial Assistance / Benevolence
Speak with a pastor
Hospital visits
Grief, suffering, death
Child Dedication or Birth Announcement
Other
Please tell us more about your specific situation and how we can help:
*
Do you attend Awakening Church?
Select…
Yes
No
Are you part of a midweek group?
Select…
Yes
No
For child dedications or birth announcements, what is the baby's name and age?
Submit
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