COVID-19
Home
About Us
Our Pastor
Blog
More
Use tab to navigate through the menu items.
COVID-19
Give
Prayer Request
Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.
First Name
Surname
Prayer Request
Phone
Contact me for a personal prayer.
Are you experiencing any flu symptoms?
No
Yes
Date
Initials
I confirm that the information given in this form is true
Submit
Thanks for submitting!