REGISTER - AURORA WORLDWIDE MINISTRIES

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How Were You Referred To Us?
Have You Received A Healing Prayer Session Outside From Our Ministry? If So, When and Where?
Why Are You Applying For An Aurora Prayer Session?
Are You Currently Seeing A Psychiatrist or a Counselor?
AURORA MINISTRY LIABILITY & CONFIDENTIALITY RELEASE FORM WAIVER OF LIABILITY - *I acknowledge the Aurora Ministry team members of Aurora have voluntarily agreed to pray for me. I understand this session is not a professional counseling session and the team members are not licensed counselors. I understand these team members are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I understand Aurora is a nonprofit Washington Corporation that makes no charge for its services and receives suggested donations. I further state I have voluntarily sought assistance of my own initiative. I am under no obligation to accept, and can reject, any of the advice or help I might receive from the team members of this ministry. I am free to terminate my participation at any time. I take full responsibility for my own actions and decisions within and outside of this ministry. I understand Aurora may not cover the needed prayers and ministry for survivors of ritual abuse and for some deliverance needs. If indicators of possible RA or needed deliverance become evident, the ministry may offer recommended resources and may refer me to other ministries that may provide the appropriate ministry. I understand Aurora encourages me to develop a strong support system in my life for emotional well-being, emergencies, and ongoing support. This may include my church, a prayer team, a support group, trusted family and friends. I understand Aurora does not provide urgent care or emergency mental health services. IF YOU AGREE PLEASE TYPE YOUR INITIALS IN THE BOX BELOW REPRESENTING YOUR SIGNATURE.
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WAIVER OF CONFIDENTIALITY: I understand the Aurora Ministry team members are committed to respect information disclosed during each session. If needed to further assist in my healing process, information may be shared with Aurora Ministry leaders and advisors. I acknowledge all statements I make to Aurora Ministry team members are of a confidential nature. However, I waive my right to “complete” confidentiality in the following situations: •I acknowledge the Aurora Ministry team members or any other persons involved in working with adults and children in a helping setting are either encouraged or required by law to disclose to the appropriate person, agency, or civil authority, any harm a person may attempt or desire to do to one’s self or to others. •I acknowledge the Aurora Ministry team members are also required to report any reasonable suspicion of physical or sexual abuse that has been done or is being done to a minor. •I agree Aurora team members and leaders reserve the right to make such reports as mandated by law whether or not they confer with me first. I agree my Aurora Ministry team member may give a verbal summary report to his/her oversight person. I have read and understood this Liability & Confidentiality Release Form. I agree with it and have executed it as my free and voluntary act. Therefore, on behalf of my heirs, representatives, successors and assigns, I hereby agree that I shall have no claim against, and agree to indemnify, hold harmless and forever release & discharge Stairways H.P. (DBA Aurora), its Board members, officers, agents, employees and representatives from all injury, damages, loss, harm, claims, liabilities, costs and expenses, whether such claims are made on my behalf, or by me, or by a third party. MY SIGNATURE COVERS THIS SESSION, AND ALL FUTURE SESSIONS I MAY ATTEND. IF YOU AGREE PLEASE TYPE YOUR FULL NAME ON THE BOX BELOW, REPRESENTING YOUR OFFICIAL SIGNATURE.
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Aurora Ministry WELCOMES YOU !

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Our ministry team offers biblical spiritual services to anyone who desires them. However, this ministry is supported solely from donations. The suggested donation of $125. covers operational costs and keeps the ministry transforming lives. Your contributions are greatly appreciated, We will minister regardless of the ability to donate. Please CONTACT US here privately to inquire about scholarship availability.

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