セッションの申請書 SESSION APPLICATION FORM
全てのフィールドの入力が必要です。下記の内容を承諾してください。

承諾書
私は、このセッションを受けるにあたり、ONFIRE JAPANのメンバーが、全て無償でこの働きに奉仕しており、プロのカウンセラーとしての資格は持っていないこと、またこの働きを通して一切の利益、収入を求めず、セッションの全ては彼らの自由意志の元に、私を助ける目的でなされている事を認めます。故に彼らが今回のセッションによって、私の身に起こり得る如何なる変化に関しても一切の責任を負っていない事を認めます。このセッションで語られた全ての内容は「秘密事項」として厳守される事を知っています。

以上の点を承諾いたします。

セッションの申込書をいたします。

Liability Release for Onfire Japan Ministry
I acknowledge that team members from the Onfire Japan Ministry have voluntarily agreed to pray for me.  I understand that this session is not a professional counselling meeting and that none of the team members are licensed counsellors.  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 Onfire Japan is a nonprofit organization that makes no charge for its services.  I further state that I have voluntarily sought assistance on 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.
I understand that all information I disclose to any team members will be kept confidential except for those things mandated by law to report.
I agree to hold Onfire Japan and its team members free from any and all liability, loss or damage of anything that may arise as a result of assistance which I have received or from my involvement with Onfire Japan.
By pushing SEND, I agree to the LIABILITY RELEASE above.

All fields are required and you must check LIABILITY RELEASE the bottom of the page before sending this form.
I apply for a SOZO Session with Onfire Japan SOZO ministry team.

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氏名 Name *
メー ルアドレス Email *
郵便番号 Postcode *
住所 Address *
電話 Phone *
電話2 Phone2 *
性別 Gender *
生年月日  Birthdate (Y-M-D) *
MM
/
DD
/
YYYY
年齢 Ages *
クリスチャンに なったのはいつですか? When did you become a Christian? *
洗礼を受けたのは いつですか? When were you baptised? *
教会名 Church Name *
特に祈りの必要の ある問題、課題等があれば書いて下さい。なければセッションを受ける目的を書いて下さい。 Please tell us particular issues or needs that are motivating you to apply for a session. *
希望の日程、日時をご記入ください。Specify the time or date for the session requested. *
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