Pray For Me Campaign | Johnson Church of God

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Student's Name

Parent's Name

Address 1

Email

Parent's Phone

Student's Phone # (if student may be contacted)

STUDENT EMAIL ADDRESS (if student may be contacted)

Student Age, Grade, Birth Date

School Name

FAVORITES: SPORTS, HOBBIES, MUSIC, ACTIVITY:

SPECIAL PRAYER REQUESTS FOR THE STUDENT:

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Adult's Name

Phone

Address 1

Email

FAMILY(WHO IS IN YOUR FAMILY AND GENERAL INFORMATION FOR THE STUDENT

HOW LONG HAVE YOU BEEN AT THE CHURCH?

WHERE DO YOU WORK (OCCUPATION) OR IF YOU ARE RETIRED, PREVIOUS EMPLOYMENT:

WHY DO YOU WANT TO BE A PRAYER PARTNER: