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Prayer Request

indicates a required answer

At MOCC we desire to care for one another as a community — celebrating moments of joy, supporting families through grief, and lifting each other up in prayer. This form provides a simple way for you to share a prayer request, a birth announcement, or information about a loss in your family so that our leadership team can come alongside you in encouragement, prayer, and support. You may choose whether your submission is private or shared with the larger MOCC community. You are also welcome to remain anonymous if you prefer.

1. *

What are you sharing today?

 (1 required)
Prayer Request Birth Announcement
Condolence/Loss in the Family Other
2. 

If other, please explain..

 

If Prayer Request

3. 

Please share your prayer request.

4. 

Is this request: 

 
For yourself On behalf of someone else
Prefer not to say
5. 

How should this be shared?

 
Private(Leadership Only) Prayer Team Only
May be shared publicly with MOCC Members
6. *

Would you like someone to follow up with you?

Yes No
7. 

If you would like someone to follow up with you, please provide a name and contact information.

 

If Birth Announcement

8. 

Baby's Full Name

9. 

Date of Birth

Parents' Names

10. 

Any additional details you’d like included (weight, length, special story) (optional)

11. 

Would you like this shared publicly?

 
Yes, share with our MOCC members Only share with leadership
Please wait for finally family approval before public posting
12. 

Would you like a follow-up regarding support? (Meals, Prayers, etc..)

 
Yes, Meals Yes, Prayer Visit
Yes, Other No
13. 

(If yes) Name and Contact Information

 

If Condolence/Loss

14. 

Name of the person who passed

15. 

Relationship to the family (Mother, Father, Child, etc..)

16. 

Date of passing(if known)

17. 

Would you like a message or short description shared?

18. 

How should this be shared?

 
Leadership Only Prayer Team
Public announcement for members only Please hold announcements until family is ready
19. 

If the family open to support? (meals, prayers, visit, etc..)

 
Yes No
Unsure
20. 

(If yes) Name and Contact Information

 

Final Question for All Submissions

21. *

Do you wish to remain anonymous?

Yes No
22. 

If you dont wish to remain anonymous please give us your name and contact information.

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