Prayer Request
Please submit your name and intention to have our church family keep your loved ones in their daily prayers. Your intentions for the Sick and the Deceased will be published in our Sunday Bulletin.
* Required
My Name
*
Person requesting the prayer (please enter full name)
Your answer
This person is
*
Sick
Deceased
Intention
*
Person to pray for (please enter full name)
Your answer
Submit
Never submit passwords through Google Forms.
Forms
This form was created inside of Immaculate Heart of Mary.
Report Abuse
Terms of Service
Privacy Policy