JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
We would be honored to pray for you or someone you know. Our Congregational Care Ministry Team prays for all requests we receive.
The River at Eureka Prayer Request
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Person to be prayed for
*
Your answer
How can we pray for you?
*
Your answer
Is this prayer request confidential?
*
Choose
Yes
No
Would you like someone from the Congregational Care Ministry Team to follow up with you regarding your request? (If yes, please fill in your contact information below.)
*
Choose
Yes. You can contact me via text, email or phone.
Yes. I prefer a phone call.
Yes. I prefer an email.
Yes. I prefer a text message.
No.
Do you worship at The River at Eureka?
*
Choose
Yes (I am a member)
Yes (regular attendee or online community)
No, but I would like more information about EUMC.
No
Your Name
*
Optional
Your answer
Email
*
Optional - please enter N/A if you do not wish to provide information.
Your answer
Phone Number
Optional - please enter N/A if you do not wish to provide information.
Your answer
All Prayer requests are submitted to the Congregational Care Ministry team for prayer. May God be with you.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
