Submit a Prayer Request — Welcome to HLCC

Prayer Request

Do you or someone you know need prayer?

If you would like to submit a prayer request, please fill out the form below and one of our leaders will connect with you.

Name

First Name

Last Name

Phone

(###)

###

####

Email

Prayer Request

Do you want a Church Leader to contact you?

Yes

No

List any preferences

How and when would you like to be contacted? AM or PM. Do you prefer to pray with a male or female?