First Baptist Church of Lincoln Gardens

HAITI EARTHQUAKE RESPONSE EFFORT

FAMILY IN NEED


Our hearts and prayers go out to the victims of January 12th earthquake in Port-au-Prince, Haiti and those connected to this horrible tragedy.

The First Baptist Church of Lincoln Gardens’ family is going to do its part to provide comfort and stability to the survivors who are struggling to get the basics – food, water and clothing.

If you have family members or friends who live in Haiti, please complete the form below:

 

Family In Need Form (* - required)

MEMBER INFORMATION

First Name:*


Last Name:*
Home Phone Number:*
Cell Phone Number:

Your Email Address:*

   
INFORMATION ON THE PERSON(FAMILY) IN NEED
   
Full Name: *

Relationship to a FBC member
   

Concern/need *

 

 

Additional Information