First Name

Last Name

I would like to submit a: I would like to submit a: Prayer Request Praise Report (Testimony)

Prayer Request or Praise Report (Please give brief and clear details) *

I give permission for my PRAISE report to be shared anonymously in The King's Chapel media I give permission for my PRAISE report to be shared anonymously in The King's Chapel mediaYesNo

Would you like a follow up call from someone in the Pastoral Care team? Would you like a follow up call from someone in the Pastoral Care team? Yes, I would like someone to contact me

Phone Number

Email Address