Bethel SOZO Appointment Request Form
Please fill out this form and click submit.
Name
*
Email (this will be the primary way of scheduling the appointment.)
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Gender
*
Please select all that apply.
Male
Female
Age
*
Are you a member of Harvest Fellowship Church?
*
Please select all that apply.
Yes
No
If not a member of Harvest, what church do you regularly attend? What is your church background?
*
Please explain briefly what you hope to break free from or what you hope to receive from a SOZO Session?
*
Please list person who referred you.
*
Is there a SOZO team member you would like to specifically request to be part of the session with you? If so, who?
*
Will you be willing to fast or pray one week before your ministry time?
*
Please select all that apply.
Yes
No
At this time there is no suggested donation for this service. However, we do ask that you treat this appointment with intentionality by arriving prepared and on time, thereby honoring our volunteers who have graciously donated their time.
*
Please select all that apply.
I understand and agree to honor my appointment time.
We do not have childcare available and our SOZO sessions are not conducive to children being present in the room or being left unaccompanied on premises during a session.
*
Please select all that apply.
I understand and will make plans for my children to be watched elsewhere.
Thank you for requesting a SOZO Session through our Re-3 Team. We will contact you as soon as possible to schedule an appointment. You may contact Re-3 via email if you have any questions at re3ministry@gmail.com
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