Assistance Request Form

Please fill out this form, click submit, and someone from our assistance team will contact you soon!

Full Name

*

Email

*

This address will receive a confirmation email

Phone

*

Preferred Method of Contacting You?

*

Please select one option.

Phone call Text Email

How can New Ground assist you?

*

Is this time sensitive?

*

Please select one option.

Yes No Maybe

Are you willing to meet with members of the Assistance team?

*

Please select one option.

Yes No Maybe

Are you a member or regular attender of New Ground Church?

*

Please select one option.

Yes No

Is there anything important we should know?

Description

Please fill out this form, click submit, and someone from our assistance team will contact you soon!

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