Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmailPlease provide your email if you'd like our Prayer Group members to contact you individually.Date / TimePrayer RequestPermission to Distribute *I have read and understand the information presented in the paragraph below. Furthermore, I give Resurrection Evangelical Lutheran Church permission to distribute my prayer request to the Prayer Group.Information submitted through this form should not be considered confidential. All information shared in this form will be distributed via email to everyone who has volunteered to be part of Resurrection Evangelical Lutheran Church's Prayer Group. Please keep this in mind as you review your request. Thank you.Request Prayer
