Worship Check-In

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Name

*

Other Family Members

How did you join us?

*

Please select all that apply.

Facebook YouTube Grace Website Outdoor Worship

We welcome you!

Please select all that apply.

I'm a visitor I attend regularly I'm interested in connecting I would like someone to contact me

Contact Information

Phone

Email

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Address

Is there anything else you'd like us to know?

Prayer Needs or Requests

With whom can we share this?

Please select one option.

Pastor's eyes only, please Okay to share with others

Please pray for

This person is

Please select all that apply.

me coworker, friend, neighbor family member

Request is for

Please select all that apply.

marriage/relationship grief end of life finances/employment health/healing depression/mental health child/youth addiction/recovery spiritual guidance

Other details you'd like to share

Would you like someone to call you regarding this request?

Please select one option.

Yes No

Would you like this request included in Sunday's prayer requests during worship?

Please select one option.

Yes No

Would you like this request put on prayer chains/emails?

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Yes No

Description

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