Special Needs Resources

Special Needs Intake Form

We desire to be a church in which people of all types and abilities feel welcome and comfortable to worship. If you, a friend, or family member should require special accommodations in order to participate in church activities, please complete the form to the right.

Name of Person Completing Form *
Name of Person Completing Form
Please answer if completing this form on behalf of someone else.
Phone *
Phone
Name of Person with Special Needs
Name of Person with Special Needs
Please answer if completing this form on behalf of someone else.
Age of Person with Special Needs *
Gender of Person with Special Needs *