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 Congregational Care to contact you regarding this request?
All prayer requests will be submitted to a Prayer Team for prayer.
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.
Where you prefer your prayer request be submitted?
Sunday Church Bulletin and the Church Prayer Team
Church Prayer Team only
Internal Prayer Team (Pastors & Director of Congregational Care only) - confidential prayer requests
Do Not Fill This Out