First Church of the Nazarene, Baton Rouge

Confidential Prayer Request Form

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. . . pray one for another, that ye may be healed. -James 5:16

Your name, e-mail address, and phone are optional. However, if you wish for one of our prayer partners to contact you, we must have either your email address or your phone number. ALL INFORMATION IS CONFIDENTIAL.

Your Name:  

Email:	    

Phone:	    

Would you like one of our prayer partners
to contact you?	(Answer "Yes" or "No"):   

Type your prayer request in the box below.
Example: Please pray for my son. He lost his job and has a wife and three children to support.

Prayer Request:

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what you have submitted will appear on the screen.

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