Concern / Celebration Contact and Description Form Please complete as much information as possible for those who will be following up with the family. Name*Who is completing this form? First Last District or Location of Service*BeaconCapitalCorridorFairwayGatewayHarborHeritageSoundConference StaffDescription of Prayer Request - With Conference Affiliation*Please include the who, what, when, where, and why of the situation. Example: Joe Big & Sue Small (Flying Nun UMC) got married on January 1, 2017, in Sioux Falls. Contact Person & Relationship*Please make sure we have a name and relationship if the request is for a widow, conference staff, or key district person(s). Contact Person's Phone*Please provide a cell (preferred) or home phone number for the clergy this request is referencing? Permission*Do we have the permission from the individual or a family member to post this request?YesNoPhoneThis field is for validation purposes and should be left unchanged.