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Prayer Request Form
"This is the confidence we have in approaching God: that if we ask anything according to His will, He hears us." 1 John 5:14 NIV
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Your First and Last Names *
Email Address
Phone Number *
Person for Whom We Are Praying *
Your Relationship to This Person *
Please pray in the following areas: *
Required
Your specific prayer request *
Time frame for your prayer request (if applicable)
I would like to request a visit. *
We want to respect your privacy. Can we place this name on our Sick & Shut-In List? *
We want to respect your privacy. Can we ask the church to pray for this person? *
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