We would love to come together and help you in this time of need. Please complete the form below and let us know how we can connect you to assistance.
First Name
Last Name
Phone Number
Email Address
Is Redemption you home church?
Yes
No
Are you a part of a Redemption Life Group?
Yes
No
If "YES" to a Life Group, which one(s)?
Are you currently serving on a team?
Yes
No
If "YES" to serving, which team(s)?
Briefly describe the reason you are requesting counseling.
Submit