Prayer Request

First Name

Enter your first name.

Last Name

Enter your last name

Prayer Option 1

I would like this prayer to be anonymous - with no personal information shared with anyone

Prayer Option 2

I would like this prayer to be shared with the Grace church community, prayer chain and Bulletin (anonymous or otherwise)

Prayer Option 3

I would like to be contacted by someone with regard to this prayer request

Contact Email Address

If you'd like to be contacted about your prayer request, please provide us with an e-mail address

Prayer Duration

For how many weeks would you like us to pray over this issue?

Prayer Message

Please tell us how we can pray for you

Security Code

Enter the code shown above in the box below.