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Pastoral Care Referral
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Pastoral Care Referral
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Work Entry
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Request Information
Name of person assisted and contact information.
Name of person assisted and contact information. is required.
What campus does the person attend?
Central Austin
Georgetown
Lake Travis
Leander / Liberty Hill
Austin Christian
What campus does the person attend? is required.
Reason for Care:
Eviction
Prayer
Questions
Financial Assistance
Hospital Visit
Other
Reason for Care: is required.
Additional Information
Additional Information is required.
Resource Information Provided
I Provided Prayer
I Provided Community Resource Referral
Referred to Pastoral Care by email (pastoralcare@celebration.church)
Referred to Church Office During Business Hours
Other
Resource Information Provided is required.
Has Individual Left Celebration Church?
No
Yes
Has Individual Left Celebration Church? is required.
Any additional information you would like to share
Any additional information you would like to share is required.
Submit