Prayer Request Name of person to pray for Email Address Sex Sex Male Female Hospitalized? Hospitalized? Yes No Prayer Need Prayer Need Salvation Baptism in Holy Spirit Healing Family Situation Guidance Prayer Need Prayer Need Employment Financial Need Business Ministry Other Comment Does He/She attend KVAG? Does He/She attend KVAG? Yes No Do you want this person to be contacted by KVAG? Do you want this person to be contacted by KVAG? Yes No If YES please give us the following information LOCATION: (Name of Hospital or Home Address, whichever applies) City, State Zip Telephone Best time to contact Your Name Telephone Send Request
