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Prayer Blanket Request Form

- Worship, Sacraments, Ministry

Each Prayer Blanket is handmade by the members of Our Lady of Good Counsel's Circle of Love Prayer Blanket Ministry and is blessed by our pastor, Fr. Darwin Lastra.

There is no cost for a prayer blanket.
However, donations, which are used to purchase materials, are greatly appreciated.

As the requester, you are responsible for picking up the blanket and delivering it to the recipient.

If you would like to join the Prayer Blanet Ministry, please call the parish office!
The group meets 2 Wednesday's a month at 1PM.
The maximum number of form submissions has been reached. This form is currently not available.
- First & Last names of the person REQUESTING the blanket REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Are you a parishioner of OLGC? REQUIRED Please fill out this field.
- First & Last names of the person who will RECEIVE the blanket. Please enter valid data.
- Date on which you wish to pick up the blanket REQUIRED Please fill out this field. Please enter valid data.
- This blanket is for a... REQUIRED Please fill out this field.
- Is recipient a parishioner of OLGC REQUIRED Please fill out this field.
- We will happily pray for the person who is to receive the blanket. Please provide their name in the space above and let us know which prayer method is preferred. REQUIRED Please fill out this field.
- Would you like to make a donation to our Prayer Blanket Ministry? If so, please indicate how much you would like to give. $ Please enter a positive decimal.
Total:

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OUR LADY OF GOOD COUNSEL

155 West Parkway | Pompton Plains, NJ

Prayer Blanket Request Form