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COVID-19 Care Form
This form is to gather information about needs that arise or resources that can be helpful for our community during the COVID-19 Pandemic.
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* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Please choose one of the following
Providing a Resource
Expressing a Need
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Please expound on previous choice in the space provided:
Your answer
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This form was created inside of South Bend City Church.
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