We Care WeCare Name(Required) First Last Phone(Required)Email(Required) I am a regular attender of The River Church and I am over 18 years old.(Required)Select OptionYesNoI would like to request the following: Please Visit Me Please Call Me Please Pray for Me My visitation location(Required) Hospital Nursing Home Recovery Facility Home Other Facility Name(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Visiting Hours (if applicable) Date of Surgery MM slash DD slash YYYY Date of visit request(Required) MM slash DD slash YYYY Phone Number(Required)Best time to call:(Required) How can we pray for you?(Required)CAPTCHAIf you do not regularly attend The River and would like a visit, please contact our church offices at 810-987-3650 to speak with someone.We will begin to pray for you immediately.CommentsThis field is for validation purposes and should be left unchanged. Δ
