Name of person needing prayer Is this concern a:General ConcernDeathSurgeryIn HospitalIn Nursing Home or RehabIllnessMarriage/FamilyDeployed MilitaryOtherDescribe the ConcernIs this person a member of a small group at Middletown Christian Church? Yes No Do we have permission to publish this prayer request in our worship bulletin or other published care concerns list? Yes No Do you desire a call or a visit from the pastoral care minister? Call Visit Not necessary Your Name Your relationship to this person Your PhoneSo we can contact you if we have questions.Your Email Δ
