Prayer_Request

Prayer Request
Your Name*

First NameLast Name
E-mail*
Phone Number*
Format: 000-000-0000.
HiddenPhone*
Who is the Prayer Request For?*

First NameLast Name
Is this request for Repose of the Soul (someone who has recently died) to be printed in the bulletin?*

NoYes
Is this request for the Friends and Family (public) prayer list?*

YesNo
public
This request will remain on the public prayer list for 3 weeks.
Would you like this prayer request to be shared with the Daughters of the King, who pray daily and confidentially?*

YesNo
This request will remain on the DOK prayer list for 1 month.
If so, what general areas

IllnessHealingGuidanceMourningLong-term illness (6-months)
DOK-Yes
Is this prayer request for a health challenge or life challenge?

Health challengeLife challenge
Would like like to speak with a member of the clergy about this request?*

YesNo
Clergy-Yes
Comments:
Math Challenge*
Please reenter your telephone number*
Format: 000-000-0000.
HiddenPhone*
Should be Empty:

Prayer Request