Prayer Request/Praise Report Form

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All personal information is optional

This submission is a: Prayer Request Answered Prayer Praise Report

If your prayer request concerns a specific event, it will remain on our active list for one month unless you update the information prior to the end of that period.

May we contact you for more information and/or updates? Yes No

• May we share this request with:

  • Pastor' eyes only
  • Prayer Ministry Team
  • Congregational Prayer List
  • World Wide Web Prayer List
• On the Prayer List may we identify you by
  • Full name?
  • First name only?
  • Initials?
  • No identification?