Transfiguration Catholic Church
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Prayer Request
If an Annointing of the Sick is requested, contact
Marie Fick
at 770-977-1442 ext. 158
Subject of Prayer Request
Prayer Requested For
*
Reason
*
Contact Information
Contact's Name
*
Contact's E-mail or Phone #
*
?
Additional Subject Information
Is subject a member of Transfiguration
*
Yes
No
Related to a member of Transfiguration?
*
Yes
No
If related to a member of Transfiguration, parishioner's name
Parishioner's relationship to subject
Spouse
Mother/Father
Sister/Brother
Grandparent
Aunt/Uncle
Niece/Nephew
Not listed
?
If subject is deceased (skip to next section if not deceased)
Date deceased
Funeral Date
Funeral Location
For Members of Transfiguration ONLY
Is subject hospitalized?
Yes
No
Date of Hospitalization
Location of Hospitalization
Does the family want this information included in the parish bulletin?
Yes
No
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Ministry of Caring
