Ministry to the Elderly - Request a Blessing

Phone Number *

What is your relationship with Grace Community Church? *

Explain how we might be able to bless you. *

Is this a one-time request or a recurring request? *

Please provide the address where someone might assist you. *

Include Street, City, and Zip Code

Who else can help with the task(s)?

Select all that apply.

Family

Small group

Friends

Neighbor

Other