Auto Draft 3 - Gospel Rescue Mission

Operation Rescue Outreach Request

Request Operation Rescue Outreach team and resources for an event or outing.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone

Date the outreach services are requested

Requested Outreach Date(Required)

The outreach team will contact you to confirm

Outreach Start Time

Time event will begin (team will arrive one hour prior to setup)

Event End Time

Time outreach will end (Team will take up to an hour to tear down and clean up)

Location where the outreach team and vehicles will be set up to provide resources and services.

Address

Street Address Address Line 2 City State ZIP Code

Available Resources for Outreaches (select all that apply)

Mobile Kitchen (provides meals and drinks)

Mobile Closet (provides clothing and showes)

Mobile Pantry (provides food resources and resource bags)

Mobile Intake (provides infomration and transportation to GRM)

Other (describe in comments section below)

Additional Information & Commnets

Let us know about speacial needs or if you have any questions