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Prayer request

Share a prayer need with our team and partner churches. Requests marked private are seen only by our ministry team.

Parish prayer list intake (Good Shepherd–style fields + template sections).

Route sensitive health details through your pastor or parish nurse first.

Date of request Requester’s name If illness, note reason

Contact person *

Phone *

Email * Relationship to parishioner / contact (e.g. mother of Jane Doe)

Prayer for (name) Prayer topic Detailed request Urgency (1–5) Keep this request private Share with prayer group / team

* Required. After you submit, you’ll receive a confirmation email.

Download the Word version of the Prayer Request Form to print, fill in, and return to us.