Prayer Request

By submitting this form, you will send an e-mail message to our Pastors that will allow us to pray for you and your needs. Please provide enough detail to properly guide our prayers.

"Do not worry about anything; but in every thing by prayer and supplication with thanksgiving let your requests be made known unto God. And the peace of God, which passes all understanding, shall keep your hearts and minds through Christ Jesus." (Philippians 4:6-7)

Contact Information

Name

Please let us know who we are lifting up in prayer.

Email Address

Phone Number

Please list your primary phone number.

I want to have someone from the church contact me. * YesNo

Please indicate your decision.

If yes, please choose which Campus Pastor you would like to contact you. Rev. Jack Jackson (Lake Miriam)Pastor Tim Carson (Shepherd Road)

Do you want this information added to our published congregational prayer list? * YesNo

These would include: Weekly Bulletin, Monthly Newsletter and Weekly Prayer Emails.

Prayer Request details

Today's Date: *

Please signify the date of your request.

Additional information:

This information will be kept confidential.

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