St. Perpetua Church

A Catholic Community in Lafayette, California
Celebrating our faith, enriching our community, sharing our gifts

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Online Prayer Request

- Worship
  - Worship With Us
    
    Daily Readings
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    Online Prayer Request

The maximum number of form submissions has been reached. This form is currently not available.
- Person Requesting the Prayers:
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Name of person who needs prayers: Please enter valid data.
- Prayer request:
- I would like this person to be added to the weekly bulletin Yes No
- You can come into the office, email or call us to have a mass said for a sick relative or friend. This is a special intention mass card.
  
  You can also have a mass said for a deceased loved one. We will create a card for the repose of the soul of your loved one.
  
  The suggested mass stipend donation is $10.00.
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