One On One Mentoring
Mentoring Consent Form
Email address *
First Name *
Last Name *
Age *
Street Address *
City *
State/Province/Region *
Zip Code/Postal *
Email *
Primary Phone *
How Did You Hear About Use? *
Best Date For Session *
Best Time For Session *
I understand that, during in-person sessions, an additional prayer team member may be present during the session. (Contact us for details) * * *
I understand that if my session is not in-person, I must have a way during the session to access to the prayers or have a printed Aslan's Place prayer book. *
I have been informed that the ministry of deliverance is a ministry based in religious belief and is not recognized by the secular field of psychology as a method for the resolution of psychological problems. I further understand that the session will be conducted by a trained prayer minister. There will also be intercessors present who will be praying for me thoughout the session for God’s healing and direction. I recognize that this step of faith has been helpful for many but has not been scientifically proven. I understand that I might experience heightened emotions and memories that were previously unknown or unresolved, that neither I nor anyone else knew about in advance. I understand that there is a possibility that one or more of these memories may be screened or false. I will not hold any of the participants responsible for my memories or behaviors. I give my consent for deliverance, and am in no way being forced, pressured, or coerced to submit to this procedure from any person or entity. I also have the right to terminate the session at any time without penalty. I understand that there is no guarantee of continued or ongoing prayer ministry with OEWM’s staff members. OEWM’s staff reserves the right to discontinue a prayer session at any time for any reason as they feel led. I do understand that if I give any indication that I am currently suicidal or if there is new information about a current molestation of a minor that the prayer minister will report this immediately to legal authorities. I am entering my name below as a legal acknowledgment that I have been informed of my rights and have had the opportunity to obtain whatever information or professional advice I deemed necessary or appropriate prior to undergoing deliverance.
Please Enter Your Full Name as a Consent Signature *
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