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Prayer Requests
Name:
*
First
Last
Address:
Street Address
Address Line 2
City
State
Zip Code
Country
Phone:
*
Email Address:
*
Pray for:
*
First Name
Last Name
Relationship To Requestor:
*
Examples - Self, Family member, Coworker, Friend, Neighbor, etc
Is The Person:
*
REACH Member
A Non Member who Attends Regularly
Neither
Specifics of the Prayer Request:
Topic of Request:
*
Addiction and Recovery
Cancer
Children/Youth
Depressions & Mental Health
Family & Relationships
Finances/Employment
Grief
Health & Healing
Hospice/End of Life
Spiritual Guidance
Surgery
Please Have A Pastor Call Me:
*
Yes
No
This Request is Confidential (Pastors Only):
*
Yes
No
Place This Request in the Bulletin:
DUE TO PRIVACY CONCERNS, WE WILL ONLY PRINT REQUESTS THAT CONCERN MEMBERS OF THE REQUESTOR'S IMMEDIATE HOUSEHOLD OR THAT ARE CONFIRMED BY THE PERSON NAMED IN THE REQUEST:
*
Yes
No
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08:00am-08:50am Power Hour
09:00am-09:15am Corporate Prayer
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01:00pm-03:00pm Spanish Service
Wednesday
07:00pm-08:30pm Bible Study
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