Calvary Chapel Old Bridge - Prayer Request

We would love the opportunity to pray for you and/or your loved one. Please complete the form below to submit a prayer request.

If you are submitting this request on behalf of another person, please fill in his/her contact information in the "In-Need" section and your contact information in the "Requestor" section. If you are the person in need of prayer, you only need to fill in the "In-Need" section. * denotes required field

Contact Information

In Need (of prayer)

Name:*
City:
Phone:
Email:
Attends:*

Requestor (your info, if different)

Name:
City:
Phone:
Email:
Attends:

Follow-up Requests







If you selected "Counseling appointment" above then please download a Pastoral Counseling Form and mail or drop it off at the receptionist desk at any time. Learn more about biblical counseling.

Privacy of Request



Prayer Request Information

Subject:
Request:

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5941