Name
Who are we praying for?

Prayer Request for myself:

Prayer Request on behalf of another person:

Do you attend Shepherd of the Hills Calvary Chapel?
Name of other person
Name of other person
more items
Does this person attend Shepherd of the Hills Calvary Chapel?
Is this person in the hospital?
Is this request confidential?
Non-confidential prayer requests can be shared with the congregation (last names omitted) on our weekly prayer video and weekly prayer print-out.

Confidential requests are only provided to the church ministry staff.
Would you like someone to follow up?
Required for follow up.