Prayer Request
We would love to pray for you! Fill out this form and we'll add you to our prayer list!
Name
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Email
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This address will receive a confirmation email
Prayer Request
*
In accordance with HIPAA Privacy Laws, Brookside Church requires that you have permission from any non-family member regarding health-related prayer requests. If you do not have permission, please mark the prayer request as confidential -OR- use general terms in your request to protect the identity of the person receiving prayer.
I have permission to share this prayer request publicly
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Please select one option.
Yes
No, but I have used general terms in my request
My prayer request is confidential
Submit
Description
We would love to pray for you! Fill out this form and we'll add you to our prayer list!
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