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ROCKVILLE
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Freedom Prayer Request
We are excited that you are interested in Freedom Prayer! Please fill out this form to request a Freedom Prayer time. Someone from our Freedom Prayer team will respond within two weeks. When entering your email address below, please make sure it is correct as this will be our main form of communication. Your answers are seen by our small Freedom Prayer intake team and the team scheduled to pray with you. We keep your answers private, and everything on your form and in your prayer time is confidential. If you have any questions, please email
Freedomprayer@rockvillenazarene.com
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First Name
Email
Last Name
Phone
Gender
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Age
Marital Status
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Is Rockville Church of the Nazarene your home church?
Yes
No
If RCN is not your church home, please let us know where you attend or type N/A
How were you referred to Freedom Prayer? For example: Sunday Worship Service, Bible Study/Sunday School, friend (include their name), website, someone on the Freedom Prayer team (include their name)
Please check the days that you are typically avilable for your Freedom Prayer Session
Monday 2pm
Tuesday 9am
Tuesday 6pm
Wednesday 9am
Wednesday 6pm
Thursday 2pm
Friday 9am
Saturday 8:30am
These times dont work, Please contact me for availability
Tell us a little about your spiritual journey. (Limit to 1-2 paragraphs)
Briefly tell us why you are seeking Freedom Prayer
We typically have mixed gender prayer teams. Are you comfortable with this?
Yes, I am comfortable with a mixed gender prayer team.
No, I prefer to have only the same gender present during my prayer time.
Typically your Freedom Prayer Session will be booked out 1-2 months, if you need to speak to someone immedately please check the box below
I need to speak to someone ASAP
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