WeCare Form WeCare Name* First Last Phone*Email* I am a regular attender of The River Church and I am over 18 years old.*Select OptionYesNoI would like to request the following: Please Visit Me Please Call Me Please Pray for Me My visitation location* Hospital Nursing Home Recovery Facility Home Other Facility Name* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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* MM slash DD slash YYYY Phone Number*Best time to call:* How can we pray for you?*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.NameThis field is for validation purposes and should be left unchanged.
