Crossroads Church Turlock - Shepherd\'s Staff Submission Form

First Name of Person Contacted

Last Name of Person Contacted

What method(s) were used to make contact?
Phone
Email
Text
Card

Please rate your connection with this family from 1-10

Please describe needs identified, physical or spiritual, that Crossroads can help with (If applicable)

Did they identify a reason why they have not been attending?
Yes
No
N/A

If the previous answer is yes, please give a brief explanation as to why.

Any other comments (if necessary)

First Name of Submitter

Last Name of Submitter