Victory Care Request Form

Victory Care Request

This form is one way you can present a request for a VictoryCare volunteer. We can't promise that every need can be met but we will do our very best to connect your need with a solution. If you have any questions please call the church and ask for our Lead Care Pastor, Glenn Procopio. (863) 859-6000 x265

Name of Requestor

First Name

Last Name

Home Phone

Cell Phone

Name of Care Recipient

Phone # of Care Recipient

Describe Need and Location

Once your request has been received, we'll get back to you within 3 working days.

Proverbs 11:25: "A generous person will prosper, whoever refreshes others will be refreshed."