406 NE 3rd Street, Dilworth, MN (218)287-2628

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Prayer Pods

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Enrollment Form

Number of members in your household?*

Please enter the names of your family members below.

Name

First

Last

Second members name

First

Last

Third members name

First

Last

Fourth members name

First

Last

Fifth members name

First

Last

Sixth members name

First

Last

Seventh members name

First

Last

Eighth members name

First

Last

Please enter the best phone number for contacting the household.

Phone*

Please enter the best email address for contacting the household.

Email*

Would you be willing to be a leader for your Prayer Pod?*

Yes

No

Are there other family that you would like to be included in your pod? (Please list below)

* Please note that listing other families will not guarantee they are grouped in your pod. *

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dilworthlutheranchurch

Dilworth Lutheran Church is a Christ-centered and home-focused congregation. We follow Jesus and love our neighbors, beginning in Dilworth, Minnesota.

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