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Prayer Request Form
South Baton Rouge Presbyterian Church
Please consider your answers to each question. We want to be in prayer for you and respect any requests for privacy.
Only pastors will see your response to this form.
Your prayer request will be shared with others depending on your response below to ensure confidentiality.
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Email
*
Your email
Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
How can we pray for you?
Your answer
If you are having medical procedure and would like to let us know, when and where
will it be?
Your answer
Are you comfortable with a pastor or an elder visiting with you?
*
yes
no, thank you
Please reach out before visiting
With whom would you like us to share your prayer request?
Select all that apply.
*
Pastors only (Pastors Nathan, Kelly, Charles & Woody)
Pastors and Ruling Elders (Especially Your Shepherding Elder)
Pastors, Elders & Deacons
Members of SBRPC
Women (through our women's group me)
Required
Send me a copy of my responses.
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