together

Please fill out the below information to request pastoral care from one of our team.
This could include a struggle with depression, illness, addiction, marital trouble, financial trouble, or any other situation you need support for.

Name *
Name
Phone *
Phone
Address
Address
Age *
Gender *
Marital Status *
Meeting Preference *
Note: the Pastoral Care Lead may opt to send more than one team member to initial meeting in order to best facilitate needs
How Long Have You Attended C3 Los Angeles? *
Do You Attend A Neighborhood Group?