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Caring Committee Notification Form
Please verify reCaptcha before submitting the form.
The Caring Committee is a group of committed congregants that provide calls, cards, meals, treats, and rides to our community. They are here to help support during difficult times and daily life challenges.
Based on information provided here, the Caring Committee may be asked to reach out to our congregants in need of some extra care.
Person Filling Out This Form:
First Name:
Last Name:
Email Address
*
Is this information about yourself?
Yes, Myself
No, Someone Else
This News is Regarding:
First Name:
Last Name:
Email Address
Phone:
Concern/Circumstances:
DETAILS:
Please tell us what you know. (ie: Death, Illness, Birth, etc)
ADDITIONAL INFORMATION:
Is there anything else we should know? (ie additional family member names/contact info, hospital details, etc)
All information provided on this form will be kept confidential.
Mon, December 2 2024 1 Kislev 5785
