Meditation Request
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Thank you for letting us know about the joys, concerns, and other important events in your life!
Name
*
Name Pronunciation
Email
*
This address will receive a confirmation email
Phone
Pronouns 1st choice
Please select one option.
He/Him/His
She/Her/Hers
No Preference
They/Them/Theirs
Name Only
Ze/hir/hirs
Prefer not to answer
Other
Select Option
He/Him/His
She/Her/Hers
No Preference
They/Them/Theirs
Name Only
Ze/hir/hirs
Prefer not to answer
Other
What would you like to share with us?
*
Would you like one of the ministers or a Pastoral Care Companion to contact you?
*
Please select one option.
Yes
No
Would you like this to be shared as part of the mediation on Sunday?
*
Please select one option.
Yes
No, I just want the ministers to know
Would you be open to receiving cards?
*
Please select one option.
Yes
No
Submit
Description
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