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.
Your Name *
Please enter your name
Your answer
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 answer
Your Prayer Request *
Enter your prayer request. (Please do not give information that would be considered of a personal nature)
Your answer
Your E-Mail Address *
Your e-mail will be kept private and will not be shared with anyone.
Your answer
Your Phone # (format: ###-###-####)
Enter your # only if you would like someone to contact you concerning your request
Your answer
Would You Like
Check all that apply
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