Prayer or Pastoral Care Request
Father Carl cares deeply about you and would like to know when you need prayer or pastoral care. You may use this form if you would like to submit names for the Church Prayer List, request prayer, or pastoral care for you or others. All submissions go directly to Father Carl confidentially and will only be distributed to others for the prayer list if indicated below.
Type of Request (required)
*
Public (Father Carl will forward your name for the church prayer list)
Private and confidential (only Father Carl will see)
Other
Would you like to request prayer or pastoral care? (required)
*
Prayer for self or others
Addition to the Church Prayer List
Pastoral Care from Father Carl
Name of Person (or you) For The Prayer List
First Name
Last Name
Other Name for The Prayer List
First Name
Last Name
Prayer Request
Pastoral Care Request
Your Name (required)
*
First Name
Last Name
Email (required)
*
example@example.com
Phone Number
-
Area Code
Phone Number
Submit Form to Father Carl
Should be Empty: