Lighthouse Prayer Request
Use this form for submitting your prayer request.
Let Us Pray With You
Your request will be processed by our office, and the staff will pray for your request and, if appropriate, will be added to our church's prayer list.
Please enter your name
Name of Person to Pray For
If your request is for a person, please provide their first & last name. If related to you, please state how.
Your Prayer Request
Enter your prayer request. (Please do not give information that would be considered of a personal nature)
Your E-Mail Address
Your e-mail will be kept private and will not be shared with anyone.
Your Phone # (format: ###-###-####)
Enter your # only if you would like someone to contact you concerning your request
Would You Like
Check all that apply
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service