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Prayer Card
Please share your prayer request with us by filling out this form. You may indicate if you want this request to remain confidential or to be shared with our prayer team.
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* Indicates required question
Email
*
Your email
If possible share the name of the person(s) who need prayer (you can share first name only or whatever is comfortable)
*
Your answer
What is the person(s) relationship to you?
*
Self
Spouse
Child
Parent
Other family member
Friend
Other:
Required
How may we pray for you?
*
Your answer
Is this prayer request confidential? Or may we share this prayer request with the prayer team?
*
Request is confidential
Request may be shared with the prayer team
Please have the church make personal contact
Required
May we send a note of encouragement?
*
Yes
No
If yes, please share the mailing address or email below (include zipcode please)
*
Your answer
Please share your name if comfortable
Your answer
A copy of your responses will be emailed to the address you provided.
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