Luckey Baptist Church
Wednesday, November 22, 2017
Knowing Christ, Growing Together, Making a Difference for Eternity
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TTU Guest Registration

 

 

Welcome to the Touched Twice DeSoto Clinic being held at Luckey Baptist Church 5252 State Rd Y in DeSoto. We offer health services from licensed

Professionals, food, clothing, and other items—all for free. Why? Because we love you, and we pray that you will get a spiritual blessing here as well. A person call an advocate will help you through the clinic today. Volunteers with color name tags can also help you. 

Each guest who receives services needs to fill out a form, including the children of parents who are guests. 

All information will be kept confidential.

Full name: Age:

Address:

City/State/Zip: 

Phone:

Email:

Religious preference:

Where do you go to church:


Below is a list of services. Please type in the services you want today. Put a star by the one that is most urgent to you. Due to last minute cancellations, services listed may be different today, and there may be more demand for some services than we can supply. We will try our best to meet your most urgent needs.

 

Optical (Vision)                            Eye Glasses

Optical (Vision)                            Family Portrait

Dental/Adult                                  Dental/Children

Free Flu Shots                                Massage

 Haircut                                           Other:

    Type services needs in this box: