Prayers and Squares Ministry Quilt Request Form

Prayers and Squares is an outreach ministry that combines the gift of prayer with the gift of a hand-tied quilt.  Many hands come together to create these lovingly made quilts, including members of the parish whom are periodically invited to bind a tie and say a prayer for the person it will ultimately comfort. 

These prayers are an affirmation of our faith in God and our belief in His power to comfort, strengthen and heal.  Anyone in special need of prayer is an appropriate recipient of a prayer quilt.

Note: Before you request a quilt for another person, please make sure that you contact them to verify that they would like to receive a quilt and if they are willing to have their diagnosis shared publicly when we display their quilt for tying.

“It’s not about the quilt, it’s all about the prayers.”

Today's Date (mm/dd/yyyy):*
Name of Recipient:*
Have you received permission from the recipient to receive a quilt? We display their name, your name, and a general description of their illness when the quilt is tied. It is important that they agree to share their information with the community.*
Is the quilt recipient an STGG parishioner?*
Is the Recipient homebound?*
Should we contact the Homebound Ministry on behalf of the Recipient?*
Your Name: (We will notify you when you can pick up the completed quilt.)*
Your Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Your Phone Number:*
Your Email:*
Would the Recipient like to receive a rosary with their quilt?*
Can you share the diagnosis of the quilt recipient? For example, cancer (and the type of cancer), heart, depression, surgery, etc. *
*
Tell us about the recipient so we can give them the right quilt. Check all that apply:
Notes: