REQUEST FOR DELIVERANCE FORM
The information that you provide is strictly confidential and will be viewed only by the individual(s) involved in personal ministry with you. Please fill out this form and sign the liability waiver at the bottom. Write N/A (Not Applicable) in any area that does not apply to you. If you are unable to remember names and specifics, I pray the Holy Spirit will bring everything to remembrance in response to your faith and search for freedom.