Prayer Requests

Baby Dedication services are held in the Chapel each 1st Sunday immediately following 10:45 a.m. worship service.

Required*
* Child's Full Name
* Child's Date of Birth
* Mother's Full Name
* Father's Full Name
* God Parent's Full Name
* Phone Number
* E-mail Address
* What month would you like your child Dedicated to the Lord?	select one January February March April May June July August September October November December
General Comments or Questions
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Thank you for expressing an interest in securing the services of Pastor Wallace for your upcoming engagement. Please complete the following request form and you will receive the status of Pastor Wallace’s availability via e-mail. If you have any questions, please contact Pastor Wallace’s Executive Assistant, Tonia Dunlap, at 214.823.7308 ext. 310 or via e-mail. Thank you.

Required*
* Organization Name
Pastor's Name (if applicable)
* Address
* City
* State
* Zip
* Engagement Date (format: 01-01-2010)
* Engagement Time (format: 3:00 pm)
* Engagement Type (anniversary, annual day, revival, etc.)
* Engagement Theme
Engagement Location (if different from above)
* Main Contact Name
* Main Contact Office Number (format 214-999-9999)
* Main Contact Mobile Number (format 214-999-9999)
* Main Contact E-mail Address
Additional comments/details regarding this engagement
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Required*
*	Prayer Request Praise Report Testimony
* What is your area of need?	General Prayer of Agreement Death of Child Death of Loved One Death of Spouse Deliverance Depression Domestic Violence Fear Finances Healing Holy Ghost Baptism Loss of Job Marital Issues My Salvation Peace Prisoner Protection during Travel Salvation for Others Spiritual Guidance Stress Substance Abuse Wisdom
* Prayer Request
* How did you hear about us?
We will confirm that we are praying for you via e-mail. If you would like a prayer warrior to contact you, please complete the contact information below and include the best time to contact you.
Please contact me	Please contact me
First Name
Last Name
Phone Number
* E-mail Address
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Thank you for taking time to complete the Women’s Ministry Survey. Information gathered will help us create programs to better meet the needs of the women of Pilgrim Rest.

* What month did you join Pilgrim Rest?	select one Jan Feb Mar April May June July Aug Sept Oct Nov Dec
* What year did you join Pilgrim Rest?
Full Name
Address
City
State
Zip Code
Cell Phone
Home Phone
Email
* Age Group	select one 18-25 26-35 36-45 46-55 56 & Up
* Marital Status	select one Single Married Widowed Divorced
* Employment Status	select one Full-time Part-time
Occupation
* Preferred Times for Women's Ministry related meetings and activities.	select one Mornings Evenings
* What would be your preferred day for Women's Ministry meetings and activites?	select one Mon Tues Wed Thurs Fri Sat
* For you, what would be the worst day of the week to hold a special Women's Event?	select one Mon Tues Wed Thurs Fri Sat
* What is your greatest need right now from the Women's Ministry?	Personal spiritual growth (Bible Studies) Outlet for fellowship Encouragement Learning/Mentoring Outlet for service to church and community Other
* Would you like to be actively involved in planning and preparing events and activities for our Women's Ministry?	NO YES
* Do you have any creative skills that you could use in relation with our Women's Ministry projects and activities?	Quilting Sewing Cooking Scrapbooking Decorating Knitting Teaching General Crafts Other
* Do you have a special skill or hobby that you would be interested in sharing during a meeting or activity within our Women's Ministry?	NO YES
If yes, what type?
* Would you be interested in being involved in any type of "Sister" program such as "Secret Sisters" or "Prayer Sisters"?	NO YES
* In relation to our community, what projects/activities would you like to see our Women's Ministry become involved in? (List general and/or specific projects)
* In relation to our church, what special projects/activities would you like to see our Women's Ministry become involved in?
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