Prayer Request Form
Please fill out this form and click submit.
We would be honored to pray for you! Simply submit this completed form.
Your Name:
Prayer Request:
Email:
Optional
This address will receive a confirmation email
How did you hear about New City Church?
Optional
Please select all that apply.
a friend
a church card
the phone book
driving by
internet
an event
other
How often do you attend New City Church
Optional
Please select one option.
1-2 times per month
3-4 times per month
Several times a year
Occasionaly
Never
Are you currently a part of a New City Church Connection Group?
Optional
Please select one option.
Yes
No
Your age range
Optional
Please select one option.
0-11
12-18
18-25
26-35
36-45
46-55
65 & older
Submit
Description
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