Prayer Request Your Name (required) Street Address City State Telephone Number Email Address (required) Select one or more I want to be baptized into Christ for the remission of my sins.I want to rededicate my life to God.I repent and desire the prayers of the Church on my behalf.I(we) desire to place membership with the Northside congregation. If transferring membership, please provide the following Formally members of (Name of Church) Located in (City & State) I request prayers for