Wellspring Pastoral Care Notification and Prayer Concerns
A Place to Keep Pastor Jeff, The Prayer Team, and/or The Pastoral Care Team Informed and Connect Us All Through Prayer
Sign in to Google to save your progress. Learn more
REQUESTED BY *
Please enter your name
Your Phone Number or Email Address
PRAYER REQUESTS
Name of the person for whom prayer is being requested
If you'd like us to contact this person, provide a phone number or email address for them here
Nature of the Prayer Request
Who should know about this request (level of confidentiality)?
For "Other," please let us know who, in addition to Pastor Jeff, should know about this request.
Clear selection
PASTORAL CARE NOTIFICATION
Name of the person in need of Pastoral Care
Phone number or email address of that person
Nature of the Pastoral Care Concern
IS THIS PERSON AWARE THEY ARE BEING REFERRED FOR PASTORAL CARE? (NOTE: Pastor Jeff will still reach out to people listed even if the person listed is not aware of this referral, but please be sensitive to privacy matters with friends and fellow church members. If this is left blank, it will be assumed the person is not aware that they are being referred.)
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wellspring United Methodist Church.

Does this form look suspicious? Report