Disaster Response Registration
What is your name?
*
First Name
Last Name
What is your email
*
example@example.com
What is your mobile number?
*
Please enter a valid phone number.
What church are you a member of?
*
Please Select
Advent Hope SDA Church
All Nations SDA Church
Ambassadors Group
Antioch SDA Church
Astoria SDA Church
Astoria Spanish SDA Church
Babylon SDA Church
Bailey Spanish SDA Church
Bay Ridge Spanish SDA Church
Bay Shore Spanish SDA Church
Bayanihan SDA Church (Filipino)
Bedford Park SDA Church
Beit Shalom SDA Congregation (Company)
Berean SDA Church
Bethany Company
Bethel Sp. Group
Bethesda French SDA Church
Bethsaida French SDA Church
Beulah Temple SDA Church
Borough Park Spanish SDA Church
Brentwood Spanish SDA Church
Bridge Group
Broadway Spanish SDA Church
Bronx Franco-Haitian Company
Brooklyn Ghana SDA Company
Brooklyn SDA Church
Canaan French SDA Church
Central Brooklyn Spanish SDA Church
Central Dutchess SDA Company
Central Islip Spanish Church
Central Manhattan Spanish SDA Church
Central Mount Vernon Spanish SDA Church
Clinton Hills Spanish SDA Church
Co-op City SDA Congregation
Coney Island Spanish SDA Company
Convent Spanish SDA Church
Copiague Spanish SDA Church
Crossroads SDA Church
Croton Falls SDA Church
Delancey Spanish SDA Church
Dunamis SDA Church
Dyckman Spanish SDA Church
East Hampton Spanish SDA Church
East New York Spanish SDA Church
Ebenezer SDA Church
Eden SDA Church
Elmhurst Spanish SDA Church
Emmanuel SDA Church
Emmanuel Spanish SDA Church
Ephése French SDA Church
Faith Temple SDA Church
Far Rockaway Spanish SDA Church
First Ghana SDA Church
First Igbo SDA Church
First Russian SDA Church
Five Towns SDA Church
Flushing SDA Church
Flushing Spanish SDA Church
Fordham Spanish SDA Church
Fort Washington II Spanish Group
Fort Washington Spanish SDA Church
Freeport Spanish SDA Church
Fusion Bilingual SDA Church
Gethsemane French SDA Church
Glen Cove Spanish SDA Church
Grand Concourse SDA Church
Green Port Sp. Group
Gun Hill Sp. Group
Hamptons Spanish SDA Church
Hartsdale SDA Church
Haverstraw Spanish SDA Church
Hempstead SDA Church
Hempstead Spanish SDA Church
Heritage Group
Highbridge Spanish SDA Church
Horeb Spanish SDA Church
Hungarian SDA Church
Huntington SDA Church
Huntington Spanish SDA Church
Hyde Park Sp. Group
Intervale Spanish SDA Church
Jackson Heights SDA Church
Jerusalem French SDA Church
Kinderhook SDA Church
Kingston SDA Church
Kingston Spanish SDA Company
La Gran Esperanza Spanish SDA Church
La Paz Spanish SDA Company
Les Trois Anges SDA Company
Living Waters Group
Living Word SDA Church
Livingston SDA Church
Long Beach Spanish SDA Company
Long Island Ghana SDA Church
Long Island Korean Group
Long Island Luso Brazilian SDA Church
Long Island Multi-Ethnic Ministry Group
Macedonia SDA Church
Mahanaim French SDA Company
Mamaroneck SDA Church
Manantial de Vida Sp. Company
Manhattan Chinese Group
Manhattan SDA Church
Manhattan Spanish SDA Church
Manor Road SDA Church
Maranata Spanish Company
Maranatha SDA Church
Middletown SDA Church
Middletown Spanish Church
Misericordia Spanish Company
Monticello SDA Church
Morris Park SDA Church
Mott Haven Spanish SDA Church
Mount Sinai French SDA Church
Mount Sinai Sp. Company
MyGen Company
New Haven Temple SDA Church
New Jerusalem SDA Church
New Life SDA Church
New York Central Korean SDA Church
New York Chinese SDA Church
New York Filipino SDA Church
New York Luso Brazilian SDA Church
New York Southern Asian SDA Church
Newburgh SDA Church
Newburgh Spanish SDA Church
North Bronx SDA Church
Northern New York Korean SDA Church
Oasis de Esperanza Sp. Company
Old Westbury SDA Church
Park Hill Sp. Group
Parkchester Spanish SDA Church
Patchogue SDA Church
Patchogue Spanish SDA Church
Pearl River SDA Church
Peekskill SDA Church
Peekskill Spanish SDA Church
Pelham Parkway Sp. Church
Peniel French SDA Church
Pergame French SDA Company
Philadelphia SDA Church
Port Chester Church
Port Chester Spanish Church
Port Jervis SDA Church
Poughkeepsie SDA Church
Poughkeepsie Spanish SDA Church
Projecto Sara Spanish Group
Prospect Spanish SDA Church
Queens Faith Temple SDA Church
Queens Ghanaian Church
Queens Korean SDA Church
Queens Spanish SDA Church
Quest Group
Reach New York Community Mission Group
Richmond Hill SDA Church (Guyanese)
Richmond Hill Southern Asian Group
Richmond Hill Spanish SDA Church
Richmond Southern Asian
Ridgewood SDA Church
Riverhead SDA Church
Rockland Emmanuel Sp. Company
Rockville Centre Spanish SDA Church
Romanian SDA Church
Salem Uniondale French SDA Church
Sarah Spanish Group
Shalom SDA Church
Shiloh Bilingual French SDA Church
Shirley Fr. Company
Siloe French SDA Church
Sion French SDA Company
Soundview Spanish SDA Church
South Bronx Community SDA Church
South Brooklyn Spanish SDA Church
Southern Asian SDA Church
Spring Valley Spanish SDA Church
Staten Island Korean SDA Church
Staten Island Spanish SDA Church
Sychar French SDA Church
Tabernacle of Joy SDA Church
Temple Apocalypse Fr. Company
The Chapel at Union Square SDA Company
Three Angels SDA Church
Throgs Neck Group
Tres Angeles Spanish SDA Church
Ukrainian SDA Church
Uniondale Spanish Church
University Spanish SDA Church
Victory SDA Church
Wakefield SDA Church
Wappingers Falls Sp. Group
Washington Avenue Spanish SDA Church
Washington Heights Spanish Church
Weeks Avenue Spanish SDA Church
West Bronx Spanish SDA Church
Westchester Korean SDA Church
Westchester Luso Brazilian SDA Church
White Plains Spanish SDA Church
Williamsburg Spanish SDA Church
Wingdale SDA Church
Wingdale Spanish SDA Company
Woodside Spanish SDA Church
Wyandanch Spanish SDA Church
Yonkers Ghana SDA Church
Yonkers SDA Church
Yonkers Spanish SDA Church
Zion Bilingual Spanish SDA Company
What is you mailing address?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any allergies or medical conditions
*
No
Yes
What allergies or medical conditions do you have?
*
What dates do you want to come?
*
Nov. 12-19
Nov. 19-26
Nov. 26-Dec. 3
Dec. 3-Dec. 10
Dec. 10-Dec. 17
Submit
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