Deacon Care Form

Please fill out and submit this form. Once you submit the form, someone will be in touch with you within 48 hours. *

*allow extra time if this is over the weekend or holiday

*Address Line 1
Address Line 2
*Zip/Postal Code
*Are you a member of Perimeter Church? :
*Please give a brief description of your current situation and need:
*Have you received support in the past?:
*Who referred you? :