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Lighthouse Prayer Request Form

Are you asking for more than prayer and spiritual care? Fill out the Care Form

Request By:

*

Name of Person to Pray for

*

Prayer Request

*

Do you want to be contacted?

*

Do you want to be contacted?

Yes

No

Phone Number

Email

Who would you like your prayer request shared with?

*

Who would you like your prayer request shared with?

The Elders

The Deacons

The Church Staff

The Weekly Prayer Meeting

Is this prayer request confidential?

*

When this option is selected, confidential information is removed from the request, but still shared with those you've selected above to share with. (Information is not hidden from the Elders)

Is this prayer request confidential?

Yes

No