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Prayer Request


 

The information you enter on this form will be sent to the Rector of St. John's Episcopal Church.  If indicated below, the Rector will ensure the prayer list is updated.

 
       
 

Your Full Name

(Required Information)

 

Your Phone

(Required Information)

 

Your E-Mail

(Optional Information)

       
 

Pray For:      Remove from list:  

 

 

Pray For

(Required Information)

 

Relationship

(Required Information)

     
 

Has the person being prayed for agreed to the inclusion of their name on St. John’s public prayer list?

Yes:      No:  

       
  Reason

(Optional Information: pregnancy, birth, birthday, anniversary, illness, death, etc.)

    Please ensure the accuracy of your input before you submit the form.  You may be contacted to verify your request.
 

 

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