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Pastoral Care Form: Baptism and Other
This request form is for baptism, bereavement, baby dedications, hospitalizations and other types of pastoral care.
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
Is the person needing care a BBFC member?
*
Select…
Yes
No
Specify Type of Care
*
Reason for the notification
Select…
Bereavement
Hospitalization | Inpatient | Assisted Living | Hospice
Baptism
Baby Dedication
Counseling
House Blessing
Other
Birthdate
Date
Submit
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