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
Is Recipient a Parishioner
** 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
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.Format: (000) 000-0000.
When is the quilt needed? (usually need at least 1 to 2 weeks to fill request)

MonthDayYear
Date
Is it an emergency situation?
Situation / Reason for quilt:
Prayers requested for:
*FOR OFFICE USE ONLY
Quilt Number
Date quilt was tied:
Should be Empty: