Gateway Church Arnprior, Ontario, Ottawa Valley, Arnprior Churches

Members Pastoral Care Request Form

Dear Church Family

Your well-being is at the heart of everything we do. Our dedicated pastors eagerly await the opportunity to join you for prayer, offer counseling, share in visits, or simply enjoy a friendly cup of coffee together. For any pastoral care needs you may have, please feel free to fill out this form. We're here for you.

Blessings,
Life is Better Together,
Gateway Pastoral Team

Personal Information

Full Name:

Contact Number:

Email Address:

Request Details

Purpose of Request:

For myself or my family

For a friend or loved one

Type of Request:

Prayer

Counselling

Visit

Other (please specify):

Description of Your Request:

Additional Information

Any other information you would like to share:

Consent

Privacy Agreement:

I confirm that I have read and agree with the Pastoral Meeting Request Policy and I consent to my data being used for the purpos