Returning Freedom Prayer | Rockville Church of the Nazarene

Name (Required)

Email Address (Required)

Phone # (Required)

Age (Required)

Gender (Required)

Male

Female

Marital Status (Required)

Single

Married

Widowed

Separated

Divorced

Is Rockville Church of the Nazarene your home church? (Required)

Yes

If RCN is not your home church, please let us know where you attend or type N/A

Please check all days that you are available for your Freedom Prayer session (Required)

Monday 2pm

Tuesday 9am

Tuesday 6pm

Wednesday 9am

Wednesday 6pm

Thursday 2pm

Friday 9am

Saturday 8:30am

These times don't work for me. Please contact me for availability

Briefly tell us why you are seeking freedom prayer (Required)

Who was on your previous prayer team? List the names of any of the people on your prayer team, if you remember. It's ok if you don't.

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 this is urgent and you need to speak to someone immedately please check the box below

I need to speak with someone ASAP

47 East St

Vernon Rockville, CT 06066

860-875-4137

rcnstaff@rockvillenazarene.com

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