PVCC Care Team Form

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PVCC Care Team Form

As needs arise in our church and community, if you have the time and ability to help out in some way (childcare, grocery delivery, meal preparation, etc.), please fill out the care team form. Filling out this form does NOT commit you to any specific tasks but will put you on a list of people that will be contacted as needs arise.

Name *

Email address *

Phone Number *

How do you prefer to be contacted?

Phone Call

Text

Needs you are able and willing to help meet: (Check all that you are able/willing to help with.)

I can provide childcare.

I can prepare meals.

I can pick up and deliver groceries.

I can pick up and deliver medicine.

I can call and check in on people

Other:

Please provide any other information that may be helpful for us to know.

Submit

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