Home phone: __________________________________________________________________ Best phone number to leave a message: _____________________________________________ Gender: _________________________________ Age: ________________________________ Church attending: ______________________________________________________________ Have you attended a school of supernatural ministry? If so, which one? _____________________________________________________________________________ Have you received Sozo ministry in the past? (and approximate date) _____________________________________________________________________________
Why do you feel like you would like to receive Sozo? _____________________________________________________________________________ _____________________________________________________________________________
Have you received other ministry from Two Rivers Church, now or in the past? _____________________________________________________________________________
If yes, with whom, and when was the approximate last date of ministry? _____________________________________________________________________________
Do you currently take any drugs, prescription, over the counter or street drugs? If so what do you take? _____________________________________________________________________
Do you currently attend a life (home, small, cell) group? ___________ If not, we strongly encourage you to join one. We also recommend that you share with someone you trust what happened during the Sozo session so that you will have someone to pray with and hold you accountable (this person should not be the one you consider to be a "best friend").
Would you be willing to pray and fast the week before your Sozo? (fasting can take shape in many ways, fasting TV or one meal...let us know if you want us to explain more) ___________
For the value of the time spent ministering to you, we have a suggested donation of $75 or what you are able to pay per visit: $75 ___ $100 $_______ other (write amount). Once we receive your paperwork, we will be able to contact you to schedule an appointment. Thank you.
Please return this form, payment, and signed liability release to: Two Rivers Church/Sozo Ministry 645 N Gilbert Rd. Suite 170 Gilbert, AZ 85234
Liability Release for Two Rivers Church Transformation Ministries
I (name) _______________________________ 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. 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 or what you are able to pay per visit: $75 ___ $100 $_______ other (write amount). Your contributions to this ministry are greatly appreciated because they support our further development. Please make donations payable to Two Rivers Church, and write "Transformation Ministries or SOZO" in the memo line.
I understand that if I receive ministry from Transformation Ministries, 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 Transformation Ministries 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. I understand that it is mandatory for Two Rivers Church to report child and elder abuse to the proper authorities.
I agree to hold Two Rivers 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 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.
_________________________________________ ____________________ signature date
_________________________________________ printed name