Prayer Request/Praise Report Form
Grace Member Care

YOUR INFORMATION

Your
Name:

Your Email:

Your
Phone:

(e.g. 713-555-1212)

Your
Membership:

Humble Campus	Garden Oaks	Liberty	I am not a Member of Grace

This is a Prayer Request	This is a Praise Report

INFORMATION ABOUT THE PERSON YOU WANT US TO PRAY FOR

Person's
Name:

Person's
Membership:

Humble Campus	Garden Oaks	Not a Member of Grace

Your
Relationship
to them:

(e.g. self, friend, mother, son, aunt, uncle, neighbor, etc)

Prayer Request:

Privacy Request:

Please publish this request to the Grace Church prayer chain (800+ participants)	Yes, please publish this request but use only first names

Yes, please publish this request but do not use names	Please DO NOT publish this request on the Grace Church prayer chain

INFORMATION ABOUT THE PERSON IN THIS PRAISE REPORT

Person's
Name:

Person's
Membership:

Humble Campus	Garden Oaks	Not a Member of Grace

Your
Relationship
to them:

(e.g. self, friend, mother, son, aunt, uncle, neighbor, etc)

Praise
Report: