Moms in Prayer

USA Roster Update Form

Thank you for helping us to help other moms have the opportunity to pray in a Moms in Prayer Group.
Please note: THESE DO NOT UPDATE AUTOMATICALLY
Update Type  *
First Name:   *
Last Name:   *
Address:   *
City:   *
Country:   *
State/Province:   *
Zip/Postal Code:   *
Home Phone:
Cell Phone:
E-mail:
Group Status: *
School Name: If more than one school is prayed for in your group, please list additional school names in the comments box.
Type of Group:
School District:
School County:
Comments:
Please be assured that this information is kept confidential.
* These fields are required in order for the form to work and send the information to the intended recipient.
THESE UPDATES ARE SENT TO EITHER YOUR ROSTER MANAGER OR MIPI HEADQUARTERS AND ARE MANUALLY ENTERED. THE UPDATES WILL NOT BE REFLECTED IMMEDIATELY ON THE GROUP LOCATOR MAP. PLEASE ALLOW 2-4 WEEKS FOR DATA TO BE UPDATED.