Your Name*
Email
Phone( ) -
Glen Meadows* Yes No
Are you or the person in need of prayer a member of Glen Meadows Baptist Church?
LIFE Group* Yes No
Are you or the person in need of prayer involved in a LIFE Group?
Prayer Request*
Special Requests and/or Needs
Meals, Encouragement, Letters, etc.
Hospital Information
If you or the person in need of prayer would like visitors, please list the hospital name and room number
Yes. Please let others know.
No. Please keep private.
Requests keep private will be shared with Pastoral Staff only. All others will be shared with the e-Ministry prayer group.
