Needs Because of COVID-19 Crisis

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Name* This field is required.

First Name

Last Name

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Your responses in this form will be shared with Veritas leadership so they can pray for you, but we will also share it with our growing response team to see if they can assist you in any way.

As a church, we will prioritize the needs of those in our own body and to other individuals in need from our community.

This is not a tool for organizations to collect donations or to recruit volunteers.

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{name}, how can we pray for you?

6

How old are you?in years

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Do you attend Veritas Community Church?It's okay if you don't! We just want to know as we respond.

YESNO

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Which congregation do you belong to?

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Phone Number* This field is required.

Area Code

Phone Number

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E-mailOptional

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Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country