Prayer Requests Submission Form

Person to Pray for:
Full Name

First Name Last Name
Prayer Request Category *
Prayer Request *
Please indicate which prayer list(s) you would like placed. *

Public printed prayer list made available to everyone. Private prayer list seen only by Church staff and leadership.
Would you like someone from The Point staff to contact you? *

Yes No
How would you like to be contacted? *

Phone Email
Phone Number *

Area Code Phone Number
E-mail *
Should be Empty:

Person to Pray for: