New Song Surprise United Methodist Church

First Name

Last Name

Phone Number

Email (if filled in, the Pastoral Assistant will reply to you)

What is your prayer request?

For whom is your prayer request?

This person is:
a family member
a friend of the family
other

How would you like this prayer request communicated?
Prayer Force (small group)
Prayer Chain (large group)
Pastor and Pastor Assistant only

Would you like this prayer to be put in the Sunday bulletin?
Yes
No

Would you like to be contacted?
Yes, Pastor
Yes, Pastoral Assistant
Yes, Stephen Minister
No

Prayer Request:
Joys and Concerns