Prayer Request
Use this form to submit a prayer request.
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Your name *
Your email *
(Used to contact you with any questions)
Name of person needing prayers *
Your relation to person
Pray for: *
(i.e. comfort, peace, hope, healing, etc)
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.)
Do you want this listed in the bulletin? *
How long do you want this in the bulletin?
Clear selection
If you'd like prayers for someone past 3 months, please submit a new request at that time.
Clear form
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