Church Name:
Denomination:
Pastor:
Church Address:
County:
Church Phone:
Are assistive listening devices available? Yes
No
Unsure
Are all areas of your church wheelchair access ible? Yes
No
Unsure
Does your church provide interpreting services for the deaf? Yes
No
Unsure
Does your church serve as a storm shelter during severe weather? Yes
No
Unsure
Any additional information:

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