Prayer Request Form - On Wings Like A Dove

Prayer Requests

Complete and Submit this form to share your prayer requests with us. If confidential, we will share with our staff only. With your permission we will also post your prayer request in our Prayer Room and share in our monthly Prayer Points email.

“Continue steadfastly in prayer, being watchful in it with thanksgiving.” Colossians 4:2

Prayer Request Submission Form

Contact Information

First Name

Last Name

Today's Date (date will auto-fill)

Additional Mailing Information, if necessary

Street Address

City

State

Zip Code

Email Address

Please indicate below if your Prayer Request is for Staff Only (confidential) or for Staff, Prayer Room, or monthly Prayer Points. You may choose more than one option.

Staff Only (Confidential) Staff and Prayer Room Monthly Prayer Points

Share your Prayer Request in the space below.

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On Wings Like A Dove
455 S. Church St
Winston Salem, NC 27101
(336) 829-5060

Psalm 55:6

And I say, “Oh, that I had wings like a dove!

I would fly away and be at rest.”