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Pastoral Care/Prayer Chain Request

We invite you use the form below to to request Pastoral Care or make a request for our Prayer Chain.
Please note that all required fields are marked with an asterisk (*). When you have entered your information click on the "Submit" button at the bottom of the form. Please read our privacy statement concerning the use of information you provide to us at Christ Church Episcopal.

If you prefer, you are always welcome to contact our church office Monday through Friday from 9 AM to 4 PM. Please click on "Contact Us" for information. You may leave messages after hours. A priest is always on call.


Your full name:*
Your email address:
Your area code and telephone number:*
Name of the person needing care:*
Please indicate they type of request:*
 Pastoral call needed
Continued Pastoral Care needed
Bereavement
Illness
Entering hospital
Prayer Chain (see below)
Other (See below)
If entering the Hospital:
Prayer Chain:
 Place on the Prayer Chain
Remove from the Prayer Chain
Would you like Church Membership information?
 Yes
No
Other request (specify in the area below.)
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