Prayer Request Form

For Pastoral Families Only

Thank you for your interest in submitting a prayer request to our Pastoral Ministries staff. We meet each Wednesday morning just to pray for our friends and colleagues in the ministry. ( Please note that, unfortunately, we cannot accept prayer requests on this form from anyone who is not in a pastor's family. For non-pastoral families, click here to submit your prayer request. )

By submitting this form, you will send an e-mail message to our staff that will allow us to pray for you and your needs. Please be as concise as possible, but provide enough detail to properly guide our prayers.

Also, please be assured that information given on this form will not be passed on to anyone outside of our Pastoral Ministries department. If you require a response or any other kind of personal assistance, please contact our general Focus on the Family offices at 1-800-A-FAMILY (1-800-232-6459). Pastoral families facing a crisis may also call us on our toll-free Pastoral Care Line (1-877-233-4455).

To submit a prayer request, please complete the following information. Lines with asterisks ** indicate information that is required. Other optional information will help us to better serve you.

Personal Information
First Name: **
Last Name: **
City & State:
Phone:   xxx-xxx-xxxx
E-mail: **
E-mail: **
Church Position: **
Church/Organization Information
City & State:
Prayer Request
Request: **