Prayer Quilt Request Form

Prayer Quilt Request Form

St. Michael's Catholic Parish Prayer Quilt Ministry
Sponsor and or Recipient Must be a member of St. Michael's Parish.
Is Sponsor a Parishioner*

YesNo
Is Recipient a Parishioner*

YesNO
** Please be sure that the recipient has been asked and is ready to accept a prayer quilt and the prayers requested are those of the recipient.**
I have confirmed with the recipient that they would like to have a quilt*

YesNo
Name of Recipient*

First NameLast Name
Requested By (Sponsor):*

First NameLast Name
Relationship to the recipient:*
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
When is the quilt needed? (usually need at least 1 to 2 weeks to fill request)*

MonthDayYear
Date
Is it an emergency situation?*

YesNo
Situation / Reason for quilt:*
Prayers requested for:*
*FOR OFFICE USE ONLY
Quilt Number
Date quilt was tied:
Should be Empty: