Give your congregation a safe, private way to submit prayer requests. This template includes a privacy preference so members can choose whether their request is shared with the full prayer team or kept confidential, along with an optional follow-up checkbox for pastoral care.
Free for non-commercial projects, with unlimited forms and responses.
Last updated
The starting point
About this template
A prayer request form gives your congregation a dignified and accessible way to share their needs with the church's prayer ministry. Whether someone is facing illness, financial hardship, grief, or simply seeking guidance, having a structured form removes the awkwardness of asking in person and ensures every request reaches the right people.
More about this template +
Privacy is paramount in prayer ministry. This template includes a clear privacy preference field so members can choose whether their request is shared with the full prayer team, limited to pastoral staff, or posted anonymously on a public prayer list. That control builds trust and encourages more people to participate.
formformform makes it easy to embed this form on your church website, include a link in your weekly bulletin email, or share it through your church app. Every submission is stored in your dashboard and triggers an instant email notification — so no one's request falls through the cracks, even when prayer coordinators are away from their desks.
5 fields to make your own3 required in this starting form
Make it fit your workflow.
Use your own copy to change labels, remove questions and add the details you need. Try the preview alongside this guide to see what respondents will be asked.
Review the starting questions and choices. You can change them in your own copy.
Short answerRequired
Your Name
Jane Smith
Email addressOptional
Email Address
jane@example.com
Long answerRequired
Prayer Request
Share what is on your heart...
Single choiceRequired
How would you like this request handled?
3 choices +
Share with the full prayer team
Keep private — pastors only
Public prayer list (anonymous)
Multiple choiceOptional
Additional Options
3 choices +
Please follow up with me
I would like someone to contact me
Add me to the ongoing prayer list
Where it fits
Who uses this template
Suggested uses, and why this starting point can help. Adapt the questions to your own process.
Churches and congregations
Use this as a starting point when you need the same essential information from each person. Review the questions against your process before sharing your copy. Review “Prayer Request” in particular and adapt it to the detail you need.
Prayer team coordinators
Replace scattered requests with a consistent starting point. The answers help you understand the work, identify gaps and prepare a follow-up. Review “How would you like this request handled?” in particular and adapt it to the detail you need.
Pastors and chaplains
Use this as a starting point when you need the same essential information from each person. Review the questions against your process before sharing your copy. Review “Additional Options” in particular and adapt it to the detail you need.
Small group leaders
Use this as a starting point when you need the same essential information from each person. Review the questions against your process before sharing your copy. Review “Prayer Request” in particular and adapt it to the detail you need.
Campus ministry leaders
Allows parents to submit prayer needs for their children that are addressed by children's ministry leaders during class.
Hospital and hospice chaplains
Use this as a starting point when you need the same essential information from each person. Review the questions against your process before sharing your copy. Review “Additional Options” in particular and adapt it to the detail you need.
Online faith communities
A standalone page for churches with large online-only audiences to submit and view prayer requests from a global faith community.
What's included
+Privacy preference field — share with team, pastors only, or anonymous public list
+Optional follow-up request so pastoral staff can reach out
+Free-form prayer request field with ample space
+Email notifications so no request goes unnoticed
+Unlimited submissions at no cost
+Embeddable on any church website or app
+Mobile-friendly for members on the go
How to create a prayer request form
1
Click 'Use this template' to open the form in formformform and start with all fields pre-built.
2
Customize the privacy options to match how your prayer team operates — adjust the radio choices to reflect your specific team structure.
3
Add a dedicated notification email for your prayer team coordinator so every request lands in the right inbox.
4
Optionally add a section for specific types of requests (healing, guidance, thanksgiving) using a dropdown or radio field.
5
Publish the form and share the link in your church bulletin, website, and social media.
6
Embed it directly on your church website's prayer page using the iframe embed code.
Best practices for your prayer request form
Respect privacy prominently
make the privacy choice field the most visible option on the form so members feel safe sharing sensitive requests.
Assign a dedicated coordinator
route all submissions to one responsible person who logs, assigns, and follows up on every request.
Respond quickly
even a brief acknowledgment email within 24 hours shows members their request was received and valued.
Keep request fields open-ended
avoid constraining dropdowns for the request itself; people's needs rarely fit neat categories.
Offer an anonymous option
some members will only share if they can remain anonymous. Include that choice to capture requests that would otherwise go unspoken.
Review and archive regularly
a backlog of old requests can cause newer ones to be overlooked. Build a weekly review habit into your prayer ministry workflow.
13 form ideas you can build with this template
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Sunday Service Prayer Request Card
A digital replacement for paper prayer cards passed during the offering, letting congregants submit requests on their phones before or after the service.
Hospital Visitation Request Form
Collects names and room numbers of hospitalized members so the pastoral care team can schedule visits.
Healing Prayer Chain Sign-Up
Lets members opt into an email or text prayer chain and submit requests that get distributed to all chain participants.
Grief Support Prayer Request
A sensitive version of the form specifically for members experiencing bereavement, with pastoral follow-up automatically triggered.
Youth Group Prayer Wall Submission
Designed for teenagers to submit anonymous prayer requests that are posted (without names) on a physical or digital prayer wall.
Online Congregation Prayer Portal
A standalone page for churches with large online-only audiences to submit and view prayer requests from a global faith community.
Prison Ministry Prayer Request Form
Allows incarcerated individuals to submit requests through a facility-provided tablet or kiosk, routed to a dedicated chaplain team.
Women's Ministry Intercessory Prayer Form
Tailored for a women's Bible study group, with options to share requests only within the group or with the broader church.
Marriage and Family Prayer Request
Specifically collects prayer needs related to marriages, parenting, and family relationships for a dedicated pastoral counseling team.
Crisis Hotline Prayer Intake Form
Used by church phone counselors to log prayer requests from callers for follow-up by the pastoral care ministry.
Missions Prayer Partner Request
Lets outgoing or active missionaries submit specific field prayer needs to their home church supporters.
Children's Ministry Parent Prayer Request
Allows parents to submit prayer needs for their children that are addressed by children's ministry leaders during class.
Thanksgiving and Praise Report Form
A positive variation that collects answered prayers and praise reports to be shared with the congregation as encouragement.
Frequently asked questions
Can members submit prayer requests anonymously?+
Yes. You can configure the form so the name field is optional, or add an 'Anonymous' option to the privacy radio field. Members who prefer not to identify themselves can still submit their request.
How do I notify our prayer team about new submissions?+
formformform sends an instant email notification to your designated address every time a form is submitted. You can set this to your prayer coordinator's email or a shared ministry inbox.
Can I limit who can see the prayer requests?+
The form itself collects requests; you control who receives the notification emails and who has access to your formformform dashboard. For multi-level privacy, route submissions to a private inbox that only authorized team members can access.
Is this form free to use?+
Yes, completely free. There are no submission limits, no trial periods, and no credit card required to create and use this template.
Can I embed this on our church website?+
Absolutely. formformform gives you an iframe embed code you can paste into any website — WordPress, Squarespace, Wix, or a custom-built church site.