Request for the Lords Supper Form

Request for the Lord's Supper Form
If you are aware of someone who is not able to be in worship with us on COZ campus during the Lord's Supper, this form may be utilized if you would like to have them served by a member of our ministry team.
Name of individual requesting Lord's Supper:

First Name Last Name
Is the individual a member of COZ?

yes no
Name of Hospital, Nursing Home, or Facility
Room Number

Address

Request for the Lord's Supper Form