Sick & Shut-In Prayer Request Form

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Sick & Shut-In Prayer Request Form

If you are aware of someone who is sick or shut-in and needs to be prayed for, please fill out the requested information below. We will reply to your request as soon as possible. If you need immediate attention, please call the church office at (949) 955-0014

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Email *

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First, Last Name of person for Prayer Request

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Contact number for the person you are submitting a request.

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