Sozo Prayer Ministry Form

NAME OF PERSON REQUESTING MINISTRY - (Adults over 18 must fill out the form personally. Before a child under 18 can receive a SOZO, the parents/guardians must receive a personal SOZO first).*

First NameLast Name

How did you find out about Two Rivers Church Sozo Prayer ministry?

E-mail*

Gender*

Phone Number*

Area CodePhone Number

Preferred Method of Coordination*

Your Availability?*

Most of the team ministers M-F , 9-4, other times are available by request.

HOW SOON WILL I BE CONTACTED? Our SOZO team consists of ALL VOLUNTEER ministers who are trained in SOZO. Most of the team commits to doing ministry several times a week, around our busy personal schedules . We do our best to contact you to schedule a time for your SOZO within a week or two. If by some chance, you are not contacted or you need to meet sooner, please email our ministry to let us know @ sozo2rc@gmail.com. We will always do our best, but cannot always guarantee to arrange your SOZO to fit your timing and personal needs.*

I understand and agree

What church do you attend, if any?*

Lead prayer minister gender preference. (Example: If you are a female and prefer to have female prayer ministers, please let us know) If possible, we will do our best to accommodate your preference.*

MaleFemaleNo preference

Do you have a request for any specific team member to be on your prayer team? If so, please give us the name. If not, please skip this entry.

Desire to receive ministry from the same team will be taken into consideration, and we will do our best to accommodate. However, it may not always be possible to receive ministry from the same team on every visit.

Have you received other ministry (other than Healing Prayer) from Two Rivers Church, recently or in the past?

If yes, with whom, and when was the approximate last date of ministry?

Which drugs are you taking - RX or otherwise?

Do you feel you are addicted to anything at this time?

List addiction, if "Other"

Would you be willing to pray and fast the week before? For example, fasting can take shape in many ways, television, gaming, internet, food, shopping, negative words or thoughts, something that you are obsessive about, reading, exercising or anything that someone that knows you says takes too much of your time ?*

We have a suggested donation of $75 per visit. Whatever amount you are able to contribute to the ministry is welcome. We use the funds to continue training our team members throughout the year.

Amount, if "Other Amount"

I acknowledge that I have read the disclaimer below and release of liability and understand and agree with it and have executed it as my free and voluntary act. *

I ACKNOWLEDGE that team members from Transformation Ministries of Two Rivers Church have voluntarily agreed to pray for me. I understand that this session is not a professional counseling meeting and that none of the team members are licensed counselors. I understand that these team members are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I understand that Two Rivers Church is a nonprofit Arizona corporation that makes no charge for its services. I further state that I have voluntarily sought assistance of my own initiative and that I am under no obligation to accept of reject any of the advice or help that I might receive from the team members of this ministry. Our team members offer biblical spiritual services to anyone who desires them regardless of ability to pay. CONFIDENTIALITY:There are limits to confidentiality that are to be adhered to by the prayer team members. The most common of these exceptions are when there is a real or potential life or death emergency, when the court issues a subpoena, or when child or vulnerable adult abuse or neglect is involved. If you communicate to a prayer minister an explicit threat to kill or inflict serious bodily injury upon a reasonably identifiable person, and you have the apparent intent and ability to carry out that threat, Two Rivers Church has the legal duty to take reasonable precautions. These precautions may include disclosing relevant information you have provided, which is essential to protect the rights and safety of yourself and/or others. I understand that if I receive ministry from Two Rivers Church, the team is committed to respect the disclosed information, but not to complete confidentiality. The information, as needed, may be shared with other leaders of the Transformation Ministries team so as to further my total healing process. This may include future meetings with spiritual mentors in the church to set appropriate boundaries for my personal and spiritual growth. NOTE: FOR THE SAFETY OF OF OUR CHILDREN AS WELL AS ALL PERSONS VISITING THE TWO RIVERS CHURCH CAMPUS, PLEASE BE AWARE THAT OUR CONFERENCE ROOMS AND OFFICES MAY HAVE CAMERA'S WITH VIDEO/SOUND CAPABILITY. ACCESS TO RECORDINGS ARE LIMITED TO THE HIGHEST LEVEL OF CHURCH LEADERSHIP AND ARE ONLY VIEWED WHEN AN EXIGENT MATTER EXISTS. I AGREE TO HOLD TWO RIVERS CHURCH AND ITS TRANSFORMATION TEAM MEMBERS FREE FROM ANY AND ALL LIABILITY, LOSS OR DAMAGE OF ANY KIND THAT MAY ARISE AS A RESULT OF THE ASSISTANCE WHICH I HAVE RECEIVED, OR FROM MY INVOLVEMENT WITH TWO RIVERS CHURCH. I have read this disclaimer and release of liability and understand and agree with it and have executed it as my free and voluntary act.