CONTACT HOSPITALIZATION Water Baptism Pastoral Ministry Hospitalization Financial Assistance Pre-Marital & Wedding Prayer Small Groups Share Your Story New Song Kids New Song Students Hospitalization If you, a loved one, or someone you know from our New Song Church family is currently hospitalized or will be hospitalized soon, please let us know using the form below. Name* First Last Email* PhoneAre you a student?*YesNoWhat grade are you in?*Name of person hospitalized:*Are they a student?*YesNoWhat grade are they in?*Are they in a small group?*YesNoUnknownWho is their small group leader?*Do they serve at New Song?*YesNoUnknownWhat team do they serve on?*Hospital Name:*Status:*In-patientOut-patientUnknownDate of Admission: Date Format: MM slash DD slash YYYY Date of Release: Date Format: MM slash DD slash YYYY Reason for being in hospital:*EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.