Prayer/Care Request Form

Please let us know how we can care for you!
Fill out the form below and we will contact you appropriately.

Name
Email
Phone
Mailing Address
City
State
ZIP
Relationship to HP
Type of Request
If you want to be baptized, who invited you to Highpoint?
Please give us details of how can we care/pray for you?
What area(s) do you currently serve in? (If none leave blank)
Who is the leader of your connection group or small group? (If none leave blank)

Care & Support