Prayer Request
Use this form to submit a prayer request.
* Required
Your name
*
Your answer
Your email
*
(Used to contact you with any questions)
Your answer
Name of person needing prayers
*
Your answer
Your relation to person
Your answer
Pray for:
*
(i.e. comfort, peace, hope, healing, etc)
Your answer
Do you want this sent to the Prayer Chain?
*
(Prayer Chain is an email group of people who would like to pray for you. All prayer requests are sent to the Prayer Group who meets weekly to pray at church.)
Yes
No
Do you want this listed in the bulletin?
*
Yes
No (if no, skip last question and submit)
How long do you want this in the bulletin?
1 week
2 weeks
3 weeks
Until I contact the office to remove them from the list
Other:
Clear selection
Submit
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