Pre-Deliverance Form | Children's Life

Please watch all 11 Free Indeed videos.

Deliverance Subjects Teachings
Most deliverance subjects below with questions have teachings to explain them. They are either, video, audio or text form.

Pre-Deliverance Short Form

Date

First Name

Age

Phone

Last Name

Sex at birth? Male or Female

How did you hear about us?

How many years have you followed Jesus as your Lord & Savior?

How many years have you been baptized in the Holy Spirit & speaking intongues?

Give a brief testamony of how your life was changed when saved.

Name of Church and how many years there?

Church involvement?

Why do you think you need deliverance?

Sin(s) you’re struggling with and unconfessed sin(s)?

Unforgiveness and offenses towards anyone?

Bitterroot judgments and expectations?

Unnatural fears or phobias?

Sexual sins (sex out of wedlock with a man or woman). (List their name(s) if you can remember and ask the Holy Spirit to help. We will be praying to break all ungodly soul ties from these people.)

Addictions of any kind? (This includes any type of gambling as well as pharmaceutical and street drugs, alcohol, sex, or anything that controls you that you are driven to do.)

New Age, occult or satanic practices, involvement, covenants, or dedications?

Generational sins and curses of your forefathers?

Traumas and abuses?

Prolonged mental or physical sickness?

LEGAL WAIVER OF LIABILITY: I hereby acknowledge and affirm that all answers given by myself in response to the questions in the Pre-Deliverance Form are voluntarily submitted and that the information is true to the best of my knowledge. I understand that deliverance ministry can involve prayers for New Testament healing of my body and mind, deliverance from demons by casting them out, and the ministry of the gifts of the Spirit. I hereby understand I cannot be guaranteed any good and Biblical results since that between myself and God. I hereby release, indemnify, and forever hold harmless Children’s Life International & GEN217 and its agents, taff, employees, and volunteers of any damages, real or perceptual, arising from personal ministry in connection with the information submitted herein. SIGNATURE REQUIRED! Signature of person receiving prayer ministry: or Signature: (Parent or Legal Guardian must sign if person receiving deliverance is under 18 years of age) Sign below if you agree with the LEGAL WAIVER OF LIABILITY.

I have read the LEGAL WAIVER OF LIABILITY at the bottom of the form.

Your Signature

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