Visitation Request

My job is not to solve people’s problems or make them happy, but to help them see the grace operating in their lives.

Eugene Peterson

Can be requested personally, or on behalf of other church member in need of visitation.

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Name of person to be visited*

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Gender and age range of person needing visitation:*

The situation/needs of person needing visitation:*

Submitted by? Phone Number?*