Calvary Prayer Quilt Ministry

Request Form

Before submitting this request, please ask the recipient if he or she will accept a prayer quilt and what specific prayers are requested. Note: if a quilt needs to be mailed, a $10 fee will be charged.

Fill in the information below and click [Send] to send your request. Your prayer request will be given to our prayer group and the recipient will be prayed for daily. To update this prayer request, or check on the quilt, please contact the church office (510) 278-2555.


Name of recipient :
Date of request :
Name of requestor :
Requestor phone number :
Relation to recipient :
When is quilt needed :
Color requested:

Situation/reason for quilt:

Prayer request :