Prayer Request Form
Calvary Baptist Church of Las Cruces Prayer Ministry
Sign in to Google to save your progress. Learn more
Email: *
Is this request: *
This request is being submitted by:
Request Submitter's phone number:
This is a prayer request for (if a specific person):
Contact info for person receiving prayer (phone and/or email):
Prayer Request:
This request may be shared with the church (requests are kept confidential unless you check "yes"): *
Would you like to be contacted about joining the prayer ministry?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Calvary Baptist Church.

Does this form look suspicious? Report