Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NGBC PRAYER REQUEST FORM
We believe in the power of prayer and are here to stand with you. Please complete this form and let us know how we can pray for you. Your information will be kept confidential unless you ask for it to be shared.
Sign in to Google
to save your progress.
Learn more
First and Last Name
Your answer
Phone Number
Your answer
Would you like someone to contact you personally?
Yes, please call me
No, I just need prayer.
Clear selection
Your Prayer Request?
Your answer
Can this request be shared with the congregation or church prayer team?
Yes, please share publicly
Yes, but keep my name private
No, please keep this confidential
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Genesis Baptist Church.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
