PrayerShawl Request-Hard Copy


In order to help us personalize the Prayer Shawl, we ask for the following information.

·        The first name of the recipient and a general reason for the nomination.

·        Any additional information you can provide will help make the shawl and our prayers more personal.

 Please Note: Do not reveal any personal details especially about health concerns without prior permission from the recipient for privacy reasons.

 ·        If the recipient is out of town, please let us know if they are in a different climate than the Northeast.

 Prayer Shawl Recipient: __________________________________________

                                                              First Name/Last Name

 Reason for the Prayer Shawl:

         Illness                                                  Divorce                                             

Bereavement                                         Birth 

Loss                                                   Life Transition                                                 

Please tell us a little about this person.

Suggestions include: family life, career, hobbies, favorite color(s), pets, favorite activity, and birth month.



Thank you for your interest and for nominating this person

Someone will contact you within the next few days to follow up with you request.

You Name:_____________________

Phone Number & Email Address:_____________________________

How did you hear about this ministry? ______________________________________________

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