Hamilton Mill United Methodist Church, Inc.

Piecemakers Prayer Quilt Request Form

If you know someone who needs to be reminded that they are wrapped in God’s love and covered in prayers please fill out the request form below.

Requestor's First Name

Requestor's Last Name

Phone

Email

Are you a member of Hamilton Mill UMC?
Yes
No

Recipient's First Name

Recipient's Last Name

Is the recipient a member of Hamilton Mill UMC?
Yes
No

Recipient's Age (if unknown, please enter child/teen/adult)

Recipient's Gender
Male
Female

Recipient's relationship to the requestor

Reason for the quilt

Color(s) preference (we will make every effort to honor your request)

Before submitting this request, please ask the recipient if he/she will accept a prayer quilt.
Done

Please ask the recipient if she/he would like to share his/her specific prayer request. If yes, please let us know how we can pray for them in the space below.

Anything else you'd like to share?

Send

Prayer Quilt Request

Piecemakers Prayer Quilt Request Form

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