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When submitting your prayer request on behalf of someone else, please let him/her know that you are submitting a prayer request his/her behalf. This is particularly important when submitting a prayer request for their medical information.

Please Read Before Submission

In line with the Personal Data Protection Act 2012, by submitting this form, I hereby give my consent to Covenant Vision Centre (CVC) to collect, use and disclose my personal data for the purposes of facilitating and contacting me regarding my request(s) via calls, text messages, post and emails.


I am aware that I may update the personal data and/or withdraw the consent provided by me at any time by contacting

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