Covenant Churches of East Texas - Deliverance Schedule Request

Deliverance Request

First Name

Last Name

Phone Number

Email

Have you been assigned or connected with a Covenant Church Mentor?

yes

no

Who is your mentor from Covenant Church?

Do you attend Covenant Church?

Yes

No

I attend another church

What church do you attend?

Are you available on Sunday Afternoon's?

yes

no

If not, please select a time you would be available.

Tuesday

Wednesday

I'm not available any of these days.