• Contact Information

  • Emergency Contact (Used after business hours or day of event)

  • Do you have a doctor or Medical Physical at the Venue? (For Emergencies Only)
  • Transportation Information

    Name and number of a male member of your staff that will be meeting Dr. Hill at the airport.

  • * Male drive must be capable of lifting 50lbs., and a non-smoker. In addition, we request a non-smoking, clean SUV for the use of transport.
    - * Please have a transportation meet Dr. Hill in the baggage claim area with proper signage to assist with luggage.
  • Event Information

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  • Thank you for taking the time to answer all of our questions. Your information is strictly confidential. Please note that after the completed form is returned to our offices, you will be contacted to solidify any and all remaining ministry details. You will be notified by phone to accept or decline your requested ministry request. If there is any additional information you think we should know about, or if you have any questions or concerns, please do not hesitate to contact Elder Alexander Lowe, Executive Coordinator to Dr. Chris Hill via email at or by phone: (Office) 303-283-7432; (Mobile) 972-533-1480.