Request edit access
Pastoral Care Request
Thank you for visiting our Pastoral Care page at St. James'. Please fill out as much of this request as you are able. You will receive a confirmation email once it is submitted and then be contacted by a member of the clergy or pastoral care team. Please know that our prayers are with you now and always.
* Required
Email address
*
Your email
Option 1
Clear selection
Your Name
*
Your answer
Your Phone Number
Your answer
This request is for:
*
Choose
Yourself
Someone Else
Pastoral Care Request (please check all that apply):
*
Prayer request
Request phone call
Request home visit
Request hospital/care facility visit
Notify parish of upcoming hospital stay/surgery dates
Notify parish of birth
Notify parish of death and/or funeral arrangements
Other:
Required
Please briefly explain your request:
*
Your answer
The person in need is requesting to be included on the parish prayer list (public):
*
No
Yes, as soon as possible
Yes, at a date in the future
Not sure
The person in need is requesting to be included on the prayer chain (private):
*
No
Yes, as soon as possible
Yes, at a date in the future
Not sure
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
