Prayer Request Form Name(s) to be listed on Prayer List Reason for requestYour request will only be published with permissionKeep on Prayer List Until MM slash DD slash YYYY Permission to publish(Required)selectYes, UCC may publish the details of this requestNo, please keep my request privateWould you like to be contacted by the pastor regarding this request?selectNo thank youBy phoneBy EmailYour Name First Last Email PhonePhoneThis field is for validation purposes and should be left unchanged.
