Prayer Request
Please leave your prayer request below. Also, please indicate if you have any special instructions about who and how the request is handled. After you place your request, an email will be sent to the church office. If you have any questions, please call the church office. 330-966-0616
"Carry each other's burdens, and in this way you will fulfill the law of Christ." Galatians 6:2
Sign in to Google
to save your progress.
Learn more
* Required
Please indicate how to handle this request.
Mark all that apply
Prayer Chain
All Pastors
Pastor Dave only
Pastor Dan only
Pastor Chris only
Staff
Mark all that apply
Prayer Chain
All Pastors
Pastor Dave only
Pastor Dan only
Pastor Chris only
Staff
Clear selection
Prayer Request -
*
Your answer
Contact info
Please leave us your name and a way to contact you if questions arise.
Your name
*
Your answer
Phone number
Your answer
E-mail
Your answer
Preferred contact method
Phone
Email
If you would like to be added to the Prayer Chain please check the box below and be sure to give us your email address.
Yes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jackson Friends Church.
Report Abuse
Forms
