Prayer Request ← BackThank you for your response. ✨ Your prayer request has been submitted to the Church Office and Pastors Borger and Clark. “Let our prayers rise before the Lord as incense, the lifting up of our hands as the evening sacrifice.” Please complete to submit a new Prayer Request or to update an existing prayer. Your Name (First & Last)*(required) Prayer for (name of person)*(required) Your relationship to the person*(required) Email*(required) Type of prayer*(required) Select one option Health & recovery (if hospitalized and want a visit, give info at end) Thanksgiving Peace at the death of a loved one Other supplication (request) Prayer request*(required) Include this prayer in the church bulletin?*(required) Yes No —ADDITIONAL INFO IF HOSPITALIZED– Phone Number Hospital? St. Joseph Regional Medical Center Hospital (Mishawaka) Memorial Hospital (Beacon South Bend) Beacon Granger Hospital Emergency (at Toll Road Exit 83) Elkhart General Hospital at home Other If other hospital, please specify Date admitted (YYYY-MM-DD) Would you like a visit? Yes No Would you like to receive the Lord’s Supper? Yes No SendSubmitting form Δ{{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting… Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook
