Share Your Story

Name*

First Last

Which location do you attend?*

How can we help?*

Email

Phone*

How can we be praying for you?

Would you like to be contacted by our prayer team?*

Please share a few details about your situation.

Please share a few details about what you would like pastoral guidance on.

Please share the details of your story below. We're excited to hear from you!

Who is the deceased?

What is your relationship to the deceased?

Do you need a Church on the Move pastor to officiate the funeral?

Has a date been set for the funeral to take place?

Date of Funeral

Name of Person in Hospital

Which hospital are they at?

Room Number (if known)

Patient Status

Date Admitted (if known)

Please share the details of why they are in the hospital.

How can we help? We can't wait to connect with you!

CAPTCHA

Email

This field is for validation purposes and should be left unchanged.

We want to hear from you!