Prayer Request Form

If you or a loved one is in need of prayer please complete the following form and individuals at St. Mary's will pray for you or the one in need.

Please give us the name of the prayer recepient.
Please give us any details to be remembered in our prayers.
Your Name
Phone Number
Your Email Address
Would you like a call from a member of the clergy?
  • Yes
  • No
Would you like a call from a member of the Pastoral Care Committee?
  • Yes
  • No
Would you like this request to be kept confidential?