Prayer Request

Prayer List Submission

"*" indicates required fields

Name:*

First

Name:*

Last

Email:*

Relationship to person requesting prayer:

e.g. father of [your name], cousin of [your name], friend of the [your last name] family

Prayer List:*

Those in need of God’s healing (published in bulletin)

Those who have died (published in bulletin)

Morning Prayer (NOT published in bulletin)

Would you like a member of the clergy to follow up with you?:*

Yes

(Optional) Further details:

Privacy:*

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