FREEDOM SESSIONS FACILITATOR APPLICATION

Name *
Name
Address *
Address
Phone *
Phone
Relational Status
Gender *
Have you attended Freedom Session before? *
Did you:
Have you attended other recovery programs? *
Do you attend Relate Church? *
Do you attend another church? *
Are you currently under the care of a *
Are you currently on medication for *
By writing my name I hereby give consent, to Relate Church, to use the personal information above/below for my pastoral care, participation in church related activities and emergency care. I understand that my personal information may be given to pastoral and/or church staff, program leaders, event coordinators and emergency personnel on a need to know basis. My personal information will be securely stored in an appropriate place, and will not be passed on to any third parties without my/our prior consent. By signing and dating this form I indicate that I have read, understand and approve the above and that this information will be stored for a minimum of one (1) year. I further understand that neither Freedom Session Resources nor Freedom Session International Ministries has any privilege to this information or responsibility for it.
My Journey *
Your honest answers to the following questions will help us place you in the FS Small Group we feel will be the most helpful to you. Please check all boxes that apply. Note: while we do our best to accommodate all who register, we reserve the right to accept or deny registrations based on space, leadership ratios or suitability (in our opinion) that FS will be helpful for you.