Eastside Baptist Church - Prayer Request Form

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This form is used to notify the church office of names that should be added to or deleted from the prayer list. All will be shared with the pastors; public requests will be listed on the church wide prayer list. Before placing a fellow member on the public prayer list, please check with them to make sure that is ok as some prefer to keep things private.

Your Name: *

Your Email Address:

Your preferred phone number in case we need to follow-up with you.
*

What would you like to do? *

Add a name to the public prayer list.

Add a name to the private prayer list.

Remove a name from the existing prayer list.

Please list your prayer request below.

Please list an earlier request that needs to be removed.

Please indicate your relationship to this request (friend, your mother, brother, etc)
*

Please indicate if you would like some follow-up.
*

No contact is necessary.

Call from a pastor is requested.

Visit from a pastor is requested.

Required

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