Life Room Prayer Partner Application

Contact Information

Thank you for your desire to join a prayer time live prayer room!  This form is a quick formality to help us get to know you. 
Once your form is reviewed, our team will be in touch with you to give instructions on how to join at the time of your preference.


Getting To Know You


Please provide TWO references (names and phone numbers) of a pastor or ministry leader who can speak to your spiritual maturity. If someone who is already a part of the Life Room recommended you get involved, just let us know who they are. Thank you so much!:

Thank you! One of our team will be in touch with you soon.

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