District Liaisons
My Shepherd Assignments 2025-2026
Please fill in one form for each of your assigned churches.
Unit Name________________________________________________
Church Name________________Church Phone____________________
Church email______________________________________________
Church Address______________________City____________Zip_____
Contact Person_____________________________Phone_____________
Address___________________________City____________Zip_______
Email:_____________________________________________________
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*The “type of contact” is phone, email, written letter, card, visit
District Officer doing the reporting:
Name________________________________Office____________________
Phone______________________email________________________________