Toms River 40 Days For Life
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Post 40 Days survey
Sign Up Form
*Your name:
*Email Address:
*Phone # where I can be reached (needed in case we can't contact you by email)
I do not wish to receive emails concerning the Toms River 40 Days For Life campaign.
I'm interested in:
Offering a spiritual gift of prayer and sacrifice. (If you wish, you may use the comment section below to share your spiritual gifts.)
Participating in the peaceful prayer vigil at the abortion clinic. (Check the dates/times you will attend.)
Helping in the promotion or organization of 40 Days For Life in my church or neighborhood. (Please use comment section below to share details on how you'd like to help.)
Being a day captain for the vigil
Being on the substitution list for the vigil.
Statement of Peace
*I have read the Statement of Peace above and agree to abide by it:
Yes
No
N/A I'm not signing up for vigil
I can commit to being at the abortion clinic every week during the campaign on these days:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
I can commit to the following time(s) every week:
9am - 11am
11am - 1pm
1pm - 3pm
3pm - 5pm
5pm - 7pm
7pm - 9pm
I can not commit to a specific time every week but can come on the following dates and times:
Additional Comments: