We would love to pray with you!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Do you have thanksgiving points or requests to the Lord? We would love to pray with you and for you.
The information below will go to CrossCulture Point Cook Pastoral team only.

First Name *

Family Name *

Best contact phone number or email address *

Thanksgiving points or prayer request: (Let us know what you'd like us to pray for. Leave as much or as little detail as you want.)

Share your prayer request?

No thanks. Please keep my request private.

Yes, the request can be shared.

Yes, the request can be shared, but anonymously.

Clear selection

Privacy Collection Statement

When dealing with your personal information we as a church are required to observe our obligations under the Privacy Act 1998 (Cth) and comply with the Australian Privacy Principles, as well as other relevant State legislation.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cross Culture Church of Christ Point Cook. Report Abuse

Forms