Isaiah 61 Form — Living Rock Church

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Digital Community

Isaiah 61 Form

We are accepting requests for in person prayer times now. Due to the COVID-19 pandemic, we have safety measures in place. We will try to get you on the schedule as soon as possible. You can email isaiah61@living-rock.org if you have scheduling concerns.

Have you had an Isaiah 61 Prayer Session before? *

Yes

No

Name *

First Name

Last Name

Age *

Gender *

Male

Female

Phone *

(###)

###

####

Email *

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Marital Status *

Single

Married

How were you referred to this ministry?

Are you a member of Living Rock Church? *

Yes

No

What is your occupation? *

Have you committed your life to Christ? If yes, when?

Briefly tell us about your salvation experience:

Briefly share why you are seeking prayer ministry:

Do you have any special requests?

Yes

No

If you answered yes, please share:

Are you comfortable with a mixed gender prayer team? *

Yes

No

Thank you!

Contact

church@living-rock.org

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First Name

Last Name

Email Address

Thank you!

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