Hillcrest Baptist Church of North Chicago: Prayer Request

Prayer

A PDF of the prayer request form can be obtained HERE.

Submit a Prayer Request

Please give some information about the person or situation being prayed for:

Name:
Email	(if applicable)
Home Address	What is the home address of the person for which you are praying? (if applicable)
Prayer Request	Please type the details of your prayer request here.
Is this person a member of this church?	Yes No
May we send this person a note of encouragment?	Yes No

	Please provide your information below.

Your Name:
Your Phone:
Your Email

What is your relationship to this person(s):	Immediate Family
	Extended Family
	Friend/Acquaintance
	Co-Worker
	Concerned Bystander
	other (provide information below)
Please provide any additional information	Please provide any additional information about your relationship with the person(s) for which you are praying.

Today's Date:	Day Month Year

*If you would also like to submit your prayer request to the Men's Prayer group, click here.*