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Prayer Request Form

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please Pray For REQUIRED
  The TITLE is meant to be a short phrase such as "John Doe has cancer" or "For a new job" or "Many needs within my family"
  Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Prayer Request Details REQUIRED Please fill out this field.
  
  Level of Confidentiality REQUIRED Please fill out this field.
  
  Do you want your prayer request and your name to be listed on the public prayer tree page? REQUIRED Please fill out this field.
  
  Sharing Options - Choose All That Apply REQUIRED Share with St. Julie's Prayer Groups Include a name in parish bulletin. Please fill out this field.
  
  I understand that my request for prayer will be handled confidentially unless I state my intention for wider distribution by my selection above. The intent of this ministry is to involve as many people as possible in praying for one another. While there is no guarantee of privacy in submitting this form, I understand that every effort will be made to honor prayer requests in the manner which I indicate. By clicking "I agree," I am allowing my prayer request to be seen by parish priests and any staff member the Prayer Team believes should be notified.
  I Agree Please select this field.
  
  Submit
  
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