With the variations in phone services, It is possible we were unable to

contact you for our Wednesday calling. If you did not receive a call or

message, and believe you are not on one of the callers list, please

fill in the following information and send it along to us.

Guardian Name: 

Member (1) Name: 

Member (2) Name: 

Member (3) Name: 

Member (4) Name: 

Wednesday (7-9pm) Phone #:  ex.) 248-559-9754

Any Notes / message: