Prayer Requests

Prayers are being requested for:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Being a parishioner is not required. Is this person a parishioner at St. Therese? REQUIRED Yes No I don't know Please fill out this field.

Address (if known) of the person in need of prayers so that cards may be mailed to them Please enter valid data.

Address, continued (if known) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Some people prefer not to have their name listed in the prayer list in the bulletin.

Do you have permission from this person to add/remove them to our prayer list in the bulletin? REQUIRED Please fill out this field.

Prayer request form