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Holy Shepherd Lutheran Church Prayer Request Form

TO PLACE A REQUEST FOR PRAYER, please complete this form and press the “Submit Your Request” button when you’re ready to submit the form. If your browser does not support forms you may send us your request either by email to lisaverley@holyshepherd.org or call the church office at (925) 254-3422.

(*required fields)

*Name:
*Email:
   
Date:
   
Prayer is for:
   
 Name of person whom you are requesting prayers    

  Please add to Sunday Prayer List for:

Healing     Wellness    For Peace/Comfort

   
Please add request to prayer chain
Specific information regarding hospital stays, emergencies, pending surgeries or tests or other special needs may also be provided:



 

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