I understand that I voluntarily consent to be ministered to and prayed for by encouragers and prayer partners and that they are helping me work through some personal and spiritual issues. I understand that they are not professional counselors, but encouragers and prayer partners.
I understand that I am free to leave at any time and am here voluntarily. I understand that I am under no financial obligation. I am also aware of my right to ask for clarification on any part of this form.
I am aware that the prayer partners meeting with me may need to intervene or contact appropriate authorities if they feel that I am a potential risk to myself or others, or at risk myself from others.
I understand that I am not being advised to alter any medication I am currently taking. That is a matter between myself and my physician or therapist.
I understand that some or all of the procedures used by the prayer team may or may not be clinically demonstrated or guaranteeing either short or long term results. I fully understand that the ministry I receive is NOT counseling in any form but rather encouragement and prayer ministry. I accept this ministry fully and completely and do not hold anyone responsible for ANY outcome that may arise as a result of this ministry.
I hereby certify that I and my family, estate, and all assigns, will assume personal responsibility for and will hold harmless the prayer partners and their assigns and estates and Gold Avenue Church and its assigns, officers, directors, employees and any parties volunteering on behalf of Gold Avenue Church for all actions, costs, expenses or damages of any kind growing out of or related to the prayer ministry provided to me by the prayer partners.