Archdiocese of Galveston - Houston
CaRev. James Burkart, Pastor

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Prayer Request

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The maximum number of form submissions has been reached. This form is currently not available.
- Prayer Request form:
  
  Date: REQUIRED Please fill out this field. Please enter a date.
  
  Name of individual to be prayed for: Please enter valid data.
  
  Parishioner:
  
  Address: Please enter valid data.
  
  City/State/Zip Code: Please enter valid data.
  
  Phone Number: Please enter valid data.
  
  The person is: REQUIRED Please fill out this field.
  
  Hospital: Please enter valid data.
  
  Room Number: Please enter valid data.
  
  Brief Description Of Your Prayer Request (e.g. illness/job/special intention): REQUIRED Please fill out this field.
  
  Name of the Person Requesting the Prayer: Please enter valid data.
  
  Relationship: Please enter valid data.
  
  Address: Please enter valid data.
  
  City/State/Zip Code: Please enter valid data.
  
  Phone Number: Please enter valid data.
  
  E-mail: Please enter valid data.
- Prayer Request fill out this form.
  For Mass Intentions Request,
  Please call the Parish Office (281) 376-6831
Submit

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