Home Bound Response Form
HOW I PLAN TO USE MY KEY – 2010
Homebound List
To print, first select the form (such as by left clicking and dragging your mouse across all of it). Then command your web browser to print the selection.
Name _____________________________________________________________________________________________
First
Middle Last
Birth date _________________________________ Baptismal
Date _____________________________
Home Phone __________________
E-mail _______________________________________________________________
You are the “key” to the successful ministry of our church. Without you, our overall effectiveness is diminished. Therefore,
you are asked to place a check next to the committee on which you would like to serve and all other tasks for which you are
willing to volunteer your time
and talents.
________ C3 CreationCare Corner
________ D2 Evangelism Commitment
________ D10 Publicity
________ G6 Telephone Prayer
Chain
________ G7 Electronic Prayer
Chain
________ G17 We Miss You Ministry
________ K29 Flower Coordinator
________ K34 Caller
________ Z2 Chrismon Committee
________ Z4 Volunteer Office Assistance