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Prayer Agreement & Release of Liability Confidential

I acknowledge that team members from TruHope 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 highly trained prayer ministers who are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I acknowledge that there are no guarantees in prayer ministry and that all healing done in this session comes solely from the power of the Lord Jesus Christ. 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.

I acknowledge that TruHope operates under 501c3 nonprofit status and does not charge for any prayer services. Instead, we operate solely through your generous partnership with the ministry. Would you partner with TruHope today by donating a suggested amount of $75?

I understand that this ministry session is completely confidential and protected in files under lock and key. However, I also understand that TruHope mandatorily reports threats of imminent risk of harm to any individual (including self), or suspicion of child and elder abuse to the proper Texas authorities. I agree to hold TruHope 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. 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.

Testimony permission:

I agree to allow TruHope to use the testimony of my healing—without using my name--for purposes of training or edification of others.

Yes

Follow-up permission:

I give permission to TruHope to contact me after my prayer session and ask several questions in order to follow up on my healing progress.

Yes

Personal information:

Church information:

Are you presently attending?

Yes

Personal information continued:

Education:

High School

Bachelor's

Master's

Ph.D

Other

Marital Status: Never Married Married Divorced Separated Widowed

Have you been in counseling before?

Yes

I have been personally involved in dabbling with or practicing the occult (please check all that apply):

Ouija boards

Séances

Superstitions

Horoscopes

Tarot cards

Psychic power

Astral travel

Witchcraft

Reiki

Wicca

Santeria

Curandero

American Indian Association

Illuminati

Satanic Ritual Abuse (SRA)

None

Have you ever been socially or sexually involved with one who practiced witchcraft or satanism?

Yes

Uncertain

I or any family relation have been associated in or been involved in any “secret society.”

Yes

Is the signature below going to be a parent or guardian if person seeking prayer is not 18 years old or older?

Yes

To complete, please fill out below and sign:

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Your legal name

Your email address

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TruHope https://mytruhope.com

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November 6, 2020 1:11 pm CST

Prayer Agreement & Release of Liability Confidential Uploaded by Nancy Cook - nancy@mytruhope.com IP 35.133.154.153