CARE REQUEST

Care Request

TVH Care is a compassionate ministry dedicated to offering support during times of difficulty or significant life transitions. Whether you are facing challenges or going through important life events, such as welcoming a new member into your family, celebrating a wedding, dealing with hospitalization, coping with a life-changing illness, or experiencing the loss of a loved one, we are here to provide both spiritual and practical assistance to help you overcome these hurdles and lift you up. If you desire TVH’s presence with you in any of these situations – please fill out our Ministry Questionnaire. Once this is submitted, someone from the Care Team will respond to your request.
Note: To provide the best support, we ask each person receiving care to attend one of our campuses in person. Also, if you are seeking marriage or couples counseling, each person must complete this form.
Thank you!

First Name

Last Name

Date of Birth

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Marital Status

Employer & Title

How long have you been attending The Victory House Church?

Have you become a member of The Victory House Church by taking our Engage class?

Yes

How are you involved in at The Victory House Church?

Do you have children?

Yes

Children's Name(s) and Age(s)

Emergency Contact (other than spouse)

E.C. First and Last Name

E.C. Phone Number

I acknowledge the information I have provided is true and accurate.

Yes

By submitting this Care form, I authorize The Victory House Church to use any documents submitted with this form to determine my eligibility for financial assistance.

Signature

< Back

Next >

Submit

CARE REQUEST

Care Request

Emergency Contact (other than spouse)

Service Times

Campuses

Contact Info

Follow Us

Download Our App