Coronavirus Response

District Office

Resourcing local pastors and churches to help make disciples of all nations for the transformation of the world.

Concern / Celebration

Contact and Description Form

Please complete as much information as possible for those who will be following up with the family.

"*" indicates required fields

Name*
Who is completing this form?
Your Email*
District or Location of Service*
Please include the who, what, when, where, and why of the situation.

If the contact information is to be shared, please include it also.

Example:
Joe Big & Sue Small (Church Name) got married on January 1, 2017, in Sioux Falls. You may contact Joe and Sue at joe@nccumc.org or send cards to 700 Waterfield Ridge Place, Garner, NC 27529.
Permission*
Do we have permission to send this Conference-wide?
Please make sure we have a name and relationship if the request is for a widow, conference staff, or key district person(s).
Please provide a cell (preferred) or home phone number for the clergy this request is referencing?
This field is for validation purposes and should be left unchanged.