Prayer Request - The Episcopal Parish of St. Clement

Prayer Request Form

If you have a prayer request, please fill out this form to submit the name(s) to our prayer list.

Your Name(Required)

First Last

Your Phone(Required)

Best Time to Call You(Required)

Preferred Method of Contact(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Your Prayer Request

Please let us know your prayer request.

Please enter your prayer request name(s) and if they need of prayer because they are sick/troubled, in thanksgiving, are traveling, or are decesed:(Required)

Please mark all that apply(Required)

I have confirmed with the individual(s) that I am allowed to add their name(s) to the prayer list.

I understand that the name(s) I submit will be published online, email, and in the service bulletin.

I understand that the pray request will be added to the prayer list for three weeks.