Prayer Request Form

The purpose of the Pastoral Care Ministry is to provide an organized means of expressing pastoral care to DBCC members and their families. Special attention is given to those who are ill, hospitalized, sorrowing and grieving, away from home, or in various situations of need of prayer or help with meals or visitation. This is done through telephone calls, notes, cards, visitation, providing meals and services, or any other means by which we can demonstrate Christian compassion and love.

Fields with * are required.


All contact information will be used only as a method to contact you regarding this request.


If the individual(s) needing prayer are part of a Small Group at DBCC, who is their leader?

Preferred Response:

Please provide a phone number.

Your Email

If this request is not for yourself please fill out the following:

Your name:

Your phone number: