Lent At Home Worship Box

Please fill out this form and click submit. Boxes will be available for pickup Sunday February 12 - Wednesday February 22. Boxes that are being delivered will be delivered before February 22.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

The number of people in my household is...

*

Please select all that apply.

1 2 3 4 5 or more

There are children and/or teens in my household (check all that apply)

*

Please select all that apply.

Yes children (under 5) Yes children (5-12) Yes teens (13-18) No children or teens

I will pick up my Lent At Home Worship box from the church office

*

Please select all that apply.

Yes, I will pick up from the church I am homebound and request delivery/mailing

Address (if needing delivery)

Description

Please fill out this form and click submit. Boxes will be available for pickup Sunday February 12 - Wednesday February 22. Boxes that are being delivered will be delivered before February 22.

Please Fix the Following

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