Central Texas Flood Impact Connection Form

The following form is for Houston's First Baptist Church members who know of families in the Greater Houston Area that have been directly impacted by the Central Texas Flood. Our church is seeking to assist through prayer and counseling, financial giving, and meeting other physical needs where possible.

Your Information

Form Entry

Campus

First Name

Last Name

Mobile Phone

Check to allow SMS communication

Impacted Family Details

First Name

Last Name

Phone Number

Address

Do they attend Houston's First Baptist Church?

Details of the Impact

Please explain your relationship or connection to the impacted family

Submit