Shurn Family Prayer Request
Shurn Family Chaplain Tonya Jeudy
tjeudy@comcast.net
Is This Prayer Request for Yourself
Yes
No
Your Name
*
Your eMail
*
Your Phone
The section Below Only if you are requesting for someone else
Requesting For
eMail
Phone
Your Relationship
Is the person aware of this request
Yes
No
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Type of Request
*
Medical
Family
Economic
Personal
Religion
Other
Breif Descripton
Do you want the family Chaplain to call and pray with you
*
Please Select
No Call
Morning Eastern Time 8-11 AM
Afternoon Eastern Time 12-5 PM
Evening Eastern Time 6-10 PM
Do you want the family Chaplain to pray for you privately and not call you
*
Yes
No
Do you want an eamil sent to the family in your behalf
*
Yes
No
Do you want other family members to contact you
*
Yes
No
Comments
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