City, State and Zip
Do you worship at Living Word?
Name of person to be prayed for
This person is
If a family member, what is the relationship?
Prayer Request - if confidential, please indicate within the request
Request is for
Hospice/End of life
For surgery: please give date, time and location of surgery
Would you like someone from Pastoral Care to call you regarding this request?
All Prayer requests are submitted to the prayer team for prayer, using first names or initials.
Requests for Health and Healing, God's Guidance and Grief will appear in the Prayer section of Living Word's bulletin.
In order for a request to be published in the bulletin, it must be made by the person named in the request, their spouse, or their parent if they are a minor child. Please confirm:
YES, I am the person named, or I am the spouse of the person named or the parent of this minor child, and I would like this to be published.
NO, please do not publish, prayer chain only.
Do Not Fill This Out