Request an Outreach – Light and Life Africa

Your full name *

Church or organisation (if any)

Your role in the community *

Nearest health facility and how far it is *

Why does your community need a medical outreach? *

Local contact person on the ground (name and phone) *

Possible venue for the clinic (church, school, hall…) *

I confirm the information above is true, and that our community can provide a venue and local support for the team.

Demander une mission