Prayer Request Form Template
A free online prayer request form for churches and ministries. People share what they need prayer for and how widely it can be shared, from any phone.
Customize the pages and design to fit your needs.
About this template
Collect prayer requests online or by QR code in the bulletin. Each person says who the prayer is for, what it's about, how widely to share it, and whether a pastor should reach out.
Common uses
- Churches and ministries
- Prayer teams and chains
- Bulletin and website QR codes
Key features
- Anonymous requests
- Sharing preference for each request
- Pastor follow up option
What this template asks
What's your name?
Short Text · Optional
What's your email address?
Email · Optional
What's your phone number?
Phone · Optional
Who is this prayer for?
Single Choice · Me, A family member, A friend, Someone else
What would you like prayer for?
Single Choice · Healing, Family, Grief and loss, Guidance, Work or finances, Praise and thanksgiving, Something else
Share your prayer request
Long Text
Who may we share your request with?
Single Choice · Pastors only, Our prayer team, The whole congregation
Would you like someone to contact you?
Yes / No
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What should a prayer request form include?
Who the prayer is for, what it's about, the request itself, how widely it can be shared, and whether the person would like a call.
Can people send a prayer request anonymously?
Yes. Name, email and phone are optional, so anyone can share a request without saying who they are.
How do I send requests to my prayer team?
Send every response to Google Sheets or a webhook your team watches, and filter by the privacy choice so private requests reach pastors only.