Northgate UMC Online Prayer Request Form

Your prayer request is confidential and will go directly to Pastor Rick Hawkins.

Prayer concern or praise

 Concern Praise

Would you like Rick to contact you?

 Yes No

Would you like to keep this request private?

 Yes No

Please submit your prayer request in the box below. Thank You!

We would like to know something about you. Please tell us about yourself.

*First name:

*Last name:

Address:

City, State, and Zip Code:

*E mail address:

Church: