Prayer Request

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Prayer Request

Here at the Central Church of Christ, we know that prayer makes a difference. Please fill out the following form, so that we may make your request known to the congregation and call you out directly in our prayers to the Lord.

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* Indicates required question

Please fill out your full name. *

Your answer

I desire: *

Choose

To be baptized

To make a confession

To place membership

To submit a prayer request

Please fill out your Prayer request. *

Your answer

Would like for someone to reach out to you directly concerning your prayer request?

Yes

No

Clear selection

Please provide the best phone number to reach you.

Your answer

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