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Loving your kids on purpose
Healing Rooms Registration
Healing Rooms - Request
Please fill in the details below and we will get back to you shortly. Thank you.
Name of person requesting prayer
Please indicate what you would like prayer for:
Auto Immune Disease
Mental Health, depression
Professional care select
Are you under any professional care for your condition?
Yes - I am under professional care for my condition
No - I am not under professional care for my condition
If you experience full or partial healing today:
Use my story
Do you give permission for your story to be shared to encourage others?
Yes - I give permission for my story to be shared
No - I do not give permission for my story to be shared
Can the healing rooms team follow you up in 3 months to see how you are?
Yes - I would be happy for a follow up
No - I would not like further communication
Once we receive your registration request we will contact you with an a appointment schedule which you will access online through zoom. An email will be sent to you on how to access us with zoom for all those unfamiliar with this way of communication. You will be told what to expect and how long the appointment will take.
I release Global Generation Church and the Healing Rooms team from all liability regarding my voluntary visits to the Healing Rooms. I understand the staff and volunteers are not trained in the medical, therapy & counselling fields. I understand that if I am currently taking medication, I will continue taking it until my medical practitioner advises me otherwise. I understand that this form and the data is the sole property of Global Generation Church.
If you are human, leave this field blank.