Family Prayer Request Form

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Hello

Do you or a loved one need prayers? You’re not alone, we all need prayers! We would love to pray for you or someone you care for.

Please feel free to fill out the Family Prayer Request form on our website or in our lobby and drop in our prayer request box.

When filled out online we are notified via email immediately and we are able to begin praying at that moment.

Remember, God is with you and He delights when we lift our voices and give our worries over to Him. Jesus Christ did not turn down the faithful. He healed the sick and He continues to heal today. Jesus wants to work in your life. Remember He wants something for you not something from you.

Who needs Prayer? *

What is their relationship to you? *

What is the prayer need?

Your First & Last Name: *

I wish to stay anonymous. *

yes

I wish to be contacted. *

yes

Contact me via text message at: *

Do you wish to keep this Prayer Request private? *

yes, I want to keep it private with just KPC Administration Staff.

no, please share with KPC Staff & SCC Prayer Team

no, please share with only KPC Staff & KPC Administration Staff.

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