Pastoral Care & Support Request Form

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We are committed to helping people grow and flourish in every area of their life by providing care and support through Life Groups, and our Pastoral Care ministries. Please tell us just a bit more about you and your current need, so we can provide the best care and support possible.

Please note that in filling out this form you give us permission to share your information with appropriate staff members. All information will be otherwise kept confidential.

Your Name (First & Last) *

Your Email

Your Cell Number *

Your Address (Street Address, City, TX Your Zip Code) *

Which area of Pastoral Care are your Requesting? *

Life Coaching

Funeral Service

Financial (Will go through a Committee)

Grief Support

Hospital Care

Parenting

Pre-Marital

Marriage

Other:

Required

What is your Membership Status at Lewisville Campus? *

Baptized Member of Lewisville Campus and the Seventh-day Adventist Church

Baptized Member of the Seventh-day Adventist Church, with membership elsewhere

Non-Baptized attendee of Lewisville Campus

Other:

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