Prayers & Celebrations

Contact and Description Form

Please complete as much information as possible for those who will be following up with the individual or family.

Name(Required)
Who is completing this form?
First Last
Your eMail(Required)
Best email to reach you incase we have questions.
Enter Email Confirm Email

Description of Prayer Request(Required)
Please include the who, what, when, where, and why of the situation.

If the contact information is to be shared, please include it also.

Example:
Joe Big & Sue Small got married on January 1, 2017, in Sioux Falls. You may contact Joe and Sue at joe@gmail.com or send cards to 700 Main St., Spring Hope, NC 27882.
Permission(Required)
Do we have permission to share this church wide?

Yes

No (Only to the Church Leadership / Prayer Team)
Contact Person & Relationship(Required)
Please make sure we have a name and relationship if the request – is this for a friend, sister, brother in law, spouse, etc.

Phone(Required)
Please provide a cell (preferred) or home phone number for the person/ family this request is referencing?
Phone
This field is for validation purposes and should be left unchanged.

Contact and Description Form

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