Christ Lutheran Church - Dallastown, PA

Prayer Ministry Request Form

 

Christ Lutheran Church is a community of Christian citizens that strongly believe in the power of prayer, and many of us are able to give personal testimony to how Jesus Christ is able to provide comfort, healing, and hope to our lives every day. We stand ready and willing to pray for your needs today. Please complete the following information, to be immediately submitted to our prayer ministry. Only the name(s) of the individual(s) will appear printed in our Sunday Church bulletin. Any additional information you wish to share with us will remain confidential.

 

Your Name:

   *REQUIRED

FIRST                                 LAST

Your E-Mail:

 *REQUIRED

(ex. yourname@serviceprovider.com)

 

Please pray for...

Please check here if this is a personal prayer request. Information entered above

       will be submitted to the Prayer Ministry. Otherwise, please enter the following...

Name:

   *REQUIRED

FIRST                                 LAST

Membership:

Member of CLC congregation     Relative / Non-member     Friend / Non-member

Description:

Though it is not required, you are encouraged to share with us

as much detail regarding your prayer needs as you wish...

Follow-Up:

Check here to request a call from the Pastor to YOUR number provided below.
Check here to request that Pastor contact the individual listed on the Prayer Ministry
       at the number listed below.
Contact Phone: () -  (Please leave these fields blank if no call is desired.)

 

NOTE: Names of individuals submitted to the Prayer Ministry of Christ Lutheran Church Dallastown will remain on the prayer listing for a period of six weeks. In order for the individual's name to remain on the Prayer Ministry for an additional six weeks, a second request may be submitted via this form, or by contacting the Church Office.