Church Member Check-In Check-In Form We are holding you in our hearts and in our prayers as we move through these days. Name(Required) First Last Phone(Required)Status(Required) Safe at Home Safe Elsewhere Safe at(Required) As of today, I am able to leave my residence.(Required) Yes No As of today, I have power.(Required) Yes No As of today, I have water.(Required) Yes No As of today, I have enough food.(Required) Yes No Other NeedsAdditional Prayer Requests
