Holiday

Holiday Blessing Form

@Applicant Requirements

Applicants Must be 21 and older
Applicants Must Reside in the Chicago and or Metropolitan Chicago Area
Please Share with Us How Covid-19 Has Impacted You
Double Entries Will Not Be Included
New Entries Will Be Accepted Weekly From 11/29-12/20/2020 at the beginning of each week @ the end of Morning Worship !!
Entries Will Be Accepted Upto Wednesday of Each Week @5pm.
Entries submitted prior to the designaiated time frame will not be considered!!

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

All Applicants Must Be 21 and Over *

How Has Covid-19 Impacted You *

Tell Us How You Heard About Us *

Submit