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Intercessory Prayer Requests

You may use the form below to submit a Prayer Request to be sent via email to the New-Ark Area Emmaus Community.

Please note that, due to privacy concerns, the Prayer Request must be for only you, your spouse, or your minor children -- otherwise, you must have requested permission from the persons of concern to make the submission. You *must* request permission from adult family members (adult siblings, adult offspring, parents, grandparents, etc.), as well as friends for whom you are requesting prayers. Permission to share a person's medical information cannot be assumed just because they have talked about it on social media (facebook, etc.); you must have asked for and been given explicit permission to share it.

To minimize the delay in posting the request, please provide a phone number and email address where you may be reached for additional information or clarification.

 
Name *  
First *
 
Last *
 
Community Name;
Walk, Encounter or Flight #;
and Table Name
 
Contact Phone *
 
Contact Email *
 
Is this request for you, your spouse, or your minor children? *
 Yes 
 No 
 
 
If 'No', do you have explicit permission to make this request? *
 No 
 Yes 
 
 
Prayer Request information *
 
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