Prayer Request Form
Please share the following information, so the Bethel community can best know how to pray for you and/or those you wish to lift up in prayer.
Your Name
*
Name of prayer recipient (if you, write "myself")
*
If requesting for another, are they aware you are seeking prayer on their behalf?
Please select one option.
Yes
No
What is the prayer need?
*
Should this request be shared with the Bethel Prayer Chain?
*
Please select one option.
Yes
No
How would you like a pastor to follow up with you?
*
Please select one option.
Phone Call
Text
Email
No need
I can be contacted at...
Phone
Email
Submit
Description
Please share the following information, so the Bethel community can best know how to pray for you and/or those you wish to lift up in prayer.
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