Sozo Children's Ministry Application
Fill out this form to apply for a personal Sozo session for a minor child. This application includes a release of liability clause.
Email address *
Date of Application *
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Parent/Guardian's Information
First Name *
Your answer
Last Name *
Your answer
Street Address
Your answer
City *
Your answer
State *
Your answer
Zip/Postal Code *
Your answer
Phone *
Your answer
Are the parents/guardians saved? *
Have the parents/guardians had a Sozo? *
If not, are they willing to be Sozoed?
Child's Information
Child's Name *
Your answer
Child's Age *
Your answer
Gender *
How many siblings? *
Your answer
Number of brothers?
Your answer
Number of sisters?
Your answer
Is the child saved? *
Is the child currently in counseling? *
If yes, has the counselor agreed to Sozo?
Is the child regularly attending church? *
If yes, what church are you attending?
Your answer
Does the child attend Sunday school? Or teen attend Youth Group? *
Child's Personal History
Please provide a brief history of child's life including home life, family, friends, etc.
Your answer
Explain any issues the child experiences. (Why do you want your child to have a Sozo)
Your answer
Commitments and Disclosures
Proverbs 22:6 says, "Train a child up in the way he should go, and when he is old he will not depart from it." Are the parents/guardians willing to make any necessary changes in their lifestyles to help the child walk out their freedom? *
As the parent/guardian, I acknowledge that team members from Sozo Ministries of Summit Church have voluntarily agreed to pray for my child. 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 my child achieve more freedom in his/her life. *
Required
I understand that Summit Church is a nonprofit 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 or reject any of the advice or help that I might receive from the team members of this ministry. *
Required
Our team members offer biblical spiritual services to anyone who desires them regardless of their ability to pay. Although there is no charge for our services, all efforts to build this ministry, support and train our team members are paid directly from the donations of those receiving these services. We therefore have a suggested donation of $75.00 or more per visit. Your contributions to this ministry are greatly appreciated because they support our further development. Please make donations payable to Summit Church. You may send the donation via mail, submit it via PayPal, or bring it to your scheduled appointment. For any checks being mailed, please write the name of the applicant in the memo field and send to: Summit Church, Attention: Sozo Ministry, 207 Security Ct., Wylie, TX 75098. If you would like a tax deductible receipt, we will provide you with one in the mail upon request. Thank you! *
Required
I understand that if I receive ministry from Sozo Ministries of Summit 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 Sozo Ministries of Summit Church so as to further your total healing process. This may include future meetings with spiritual mentors in the church to set appropriate boundaries for your child's personal and spiritual growth. *
Required
I also understand that Summit Sozo Ministry is a mandatory reporting agency and that any allegations of physical or sexual abuse of a child will be reported to the appropriate authorities. *
Required
I agree to hold Summit Church and its team members free from any and all liability, loss or damage of any kind that may arise as a result of assistance which I have received or from any involvement with Summit Church. *
Required
I have read the above disclaimer and release of liability statements and understand and agree with them and have executed it as my free and voluntary act. *
Required
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