Reminder: This form is required before your first session can be scheduled. We then keep this consent on file. Please do not submit a new form for return appointments.

Ministry and Discernment Coaching Consent Form

First Name *

Last Name *

Address *

City *

State (if in United States)

Zip Code *

Country *

In order to assist in coordinating an appointment date and time, please provide your time zone or the name of a major city in the same time zone as you. *

Primary Telephone *

Is this a cell phone? *

Secondary Telephone

Is this a cell phone?

Age *

Email Address *

How did you hear about us?

Who is your requested prayer minister? *

Have you watched the first twenty-five minutes of our video titled "Understanding Generational Prayer", participated in an Aslan's Place teaching on generational prayer, or been briefed by pastor Mark Graham from Abundant Living? *

Yes

No

I understand that I cannot book an appointment until I'm able to answer "yes" to the previous question. *

Yes

I understand that my prayer minister may choose to have additional prayer team members present during the session.(Contact us for details) *

Yes

I understand that if my session is not in-person, I must have a way during the session to access the prayers at aslansplace.com or have a printed Aslan's Place prayer book. *

Yes

I understand that this consent is not a request for an appointment and that I must contact Aslan's Place directly to make appointment arrangements. Inside the United States? Arrangements must be made over the phone. Please call 760-810-0990. Outside the United States? Email appointments@aslansplace.com. *

Yes

Consent:

I have been informed that the ministry of deliverance is a ministry based in religious belief and is not recognized by the secular field of psychology as a method for the resolution of psychological problems.

I further understand that the session will be conducted by a trained prayer minister. There will also be intercessors present who will be praying for me throughout the session for God’s healing and direction.

I recognize that this step of faith has been helpful for many but has not been scientifically proven. I understand

that I might experience heightened emotions and memories that were previously unknown or unresolved, that

neither I nor anyone else knew about in advance. I understand that there is a possibility that one or more of

these memories may be screened or false. I will not hold any of the participants responsible for my memories

or behaviors.

I give my consent for deliverance, and am in no way being forced, pressured, or coerced to submit to this procedure from any person or entity. I also have the right to terminate the session at any time without penalty.

I understand that there is no guarantee of continued or ongoing prayer ministry with Aslan's Place staff members. Aslan's Place staff reserves the right to discontinue a prayer session at any time for any reason as they feel led.

I do understand that if I give any indication that I am currently suicidal or if there is new information about a current molestation of a minor that the prayer minister will report this immediately to legal authorities.

I am entering my name below as a legal acknowledgment that I have been informed of my rights and have had the opportunity to obtain whatever information or professional advice I deemed necessary or appropriate prior to undergoing deliverance.

Consent For Minors:

As the parent or legal guardian, I consent to ministry for the following individuals who are under the age of 18.

If children under your care will be receiving ministry, please enter their NAMES and AGES here:

Please enter your full name as a consent signature (must be 18 or older) *

Please enter today's date *