Prayer Request Contact & Information Form
I understand that the only information to be shared with the intercessor will be the first name and last initial of the person for whom I am requesting prayer and any specific information that I request be shared in the prayer request box below.
Your Name:
Email:
First and Last Name
Prayer Request (include only the information you want shared with the intercessor)
The space below is provided for any questions or comments you might have for Waiting Room Ministry.
If the intercessor provides Waiting Room Ministry with any specific information regarding their time of prayer for your loved one that they want to share with you, Waiting Room Ministry will email you the information.
CAUTION!!!!!
This form will not be sent until you click on the
"Submit Form" button above.
Name, Email, and Prayer Request are required fields and need to be completed for form to be accepted.
A place where silent grief is shared and hope is offered
