Prayer Vigil Sign-Up

You are requesting the following Prayer Vigil slot:
Start Time: 19-Nov-2017 01:00 AM
End Time: 19-Nov-2017 01:30 AM

Note: The times listed are local to the weekend location. As time permits, I will be creating a timezone calculator to help you figure out what your relative timezone will be.

Name: Provide your name so the weekend attendees can get the feeling that you are a real person.

E-Mail: Please provide an e-mail address for confirmation of your Prayer Vigil time request and any notes that the requesting community might like to send to you. Your e-mail address will NOT be displayed on the web page.

Location: Please provide your location. Your city and state/province is appropriate for this field. A good example is, "Tustin, California".

Country: The name of the country you are from. The weekend attendees would like to know if you are praying for them in another country.