Pastoral Care Request | Reigate Baptist Church

Please fill in the form below to submit your request for pastoral support

Pastoral Support Request

Please note in completing this form, you give us permission to share your information with a member of the Pastoral Care Team as appropriate.
This information will be kept confidential.

Name

Address

Phone Number *

Please share the need which has prompted you to request support. *

Are you in a connect Group?

Yes

If yes, who leads it?

Are they aware of this need?

Yes

May we have your permission to talk to them about this if appropriate?

Yes

If you are human, leave this field blank.