Name *

First Name

Last Name

Phone *

(###)

###

####

How would you like to get involved in our shut-in ministry? *

I can visit a shut-in member regularly.

I can visit a shut-in member every once in a while.

I can do odd jobs for a shut-in member if it fits my skill set.

I can pick up or drop off a shut-in member for worship, an event, or an appointment.

I can help assemble mailings to shut-in members.

I have another way I'd like to help.