RECEIVE DELIVERANCE

Please complete and submit the application below. Once it has been received, one of our deliverance team leaders will contact you.

Deliverances are done in person at Destiny Church.
Private appointments with our team may be available for church leaders upon request.

Deliverance Application:

Name

First Name

Last Name

Your Current Address

*Must be within short driving distance of Destiny Church in Dayton, Ohio.

Gender

Male

Female

Phone

(###)

###

####

Birthdate

YYYY

1. Are you currently following Christ, having had a born-again, salvation experience in Christ?

2. What church do you regularly attend? (Deliverance will only be done if you are currently attending a church).

3. What is the pastor's name?

4. What kind of bondage are you facing?

(Fear, depression, sexual addictions, voices in your mind, anger, mental illness, lingering physical illness, mental torment, spiritual torment, etc.)

5. Do you remember when the bondage started?

6. Any physical abuse from parents or others in your life?

7. Have you participated in pre-marital sex?

8. Have you had periods of, or habitual immorality (including pornography, sexual fantasy, promiscuity, etc.)?

9. Drinking or drug use?

10. What do you think may be areas of demonic influence in your life?

11. Do you have any objects in your home or possession that relate to ungodliness or cults, this would include new age religion, books on Eastern deities, crystals, heavy metal music, Native American/African artifacts, items connected with other religions or rituals, Wiccan or other occult items, etc.? If yes, please identify and explain:

12. What was happening in your life around the time that your bondage started?

13. Can you see any open doors where the bondage may have entered through?

(Unforgiveness, occult activity, illicit sexual activity, unresolved anger, etc.)

14. Have you or anyone in your family, even extended family, been involved in the occult or any false religions?

Including secret societies such as Freemasonry, or seeking occult power or knowledge from Taro card readings, Ouiji boards, having a fortune told, etc.

15. Do you have family members, even extended, who have suffered from a similar kind of bondage?

16. Do you have any unforgiveness in your heart towards anyone?

17. Do you have any addictions?

If so, please explain.

18. How do you see yourself?

(Do you feel guilty, low self-esteem, confident, etc.)

19. Is there anything else in your life that has been or is currently troubling you?

20. Do you feel truly loved by God for who you are?

Be honest!

21. What things have negatively impacted your life?

(Traumatic experiences, deeper sin, bad relationships, etc.)

22. What was your relationship with your parents like when you were growing up?

23. When attending church or other ministries do you have foul thoughts, jealousies, anger, or other mental harassment?

BEFORE YOU COME FOR DELIVERANCE:

There is something you can do to bring about your freedom. I recommend that you deal with the following issues BEFORE coming to your deliverance appointment. In order for deliverance to be successful, there can be NO unforgiveness in your life. Unforgiveness is legal permission for demons to torment believers: Matthew 18:23-25. Do not neglect the area of forgiveness for yourself. You must also forgive yourself in order to be free. A typical prayer might be as follows: “Father, because You have forgiven me I chose to forgive others, everyone who has hurt me, lied to me, or disappointed me, I forgive. I confess unforgiveness as sin and repent of it. I receive your forgiveness and apply it to why life by forgiving myself. Thank You for Your grace in mercy in Jesus' Name. Amen.” If there was every any involvement (however innocent) in Satanic activities, witchcraft, cults, Taro card readings, astrology, or occult activities, they must be renounced. Typical prayer: “Father, I renounced any bond or agreement I ever made with Satan and the kingdom of darkness. I know there can be no valid contract with a liar and I renounce any words, oaths, or pledges made to Satan and I choose to be totally free from them. I chose to be lensed from any ties with Satan in Jesus' Name. Amen.” Sexual relationships outside of marriage are called “Soul Ties” and each one could be an entry point for demon spirits. The ties must be broken by confessing them as sin and choosing to be free from them. I will include a prayer you can pray. It would be best if you could do so by denouncing each one by name, do the best you can with that. The deliverance process involves canceling permission of evil spirits to be in our life. This prayer and renunciation will cancel consent that was granted through soul ties. The prayer can be something like this: “Father, I confess the sin of sexual relations outside of marriage. I renounce that sinful activity in Jesus’ Name. I call back that part of me that was given to another, and I refuse that part of another that may have come to me. I denounce soul ties with them and choose to be free in Jesus Christ's Name. Amen" I have fully read this application and answered each question to the best of my ability:

Waiver of Liability And Disclaimer

First Name

Last Name

hereby acknowledge and affirm that all answers given by myself in response to the questions on this form are voluntarily submitted and the answers are true to the best of my knowledge. I hereby indemnify, release, and hold harmless Destiny Church, their employees or those supervising the deliverance prayer, from any claims arising out of, or relating to the deliverance prayer that I am participating in.

Participant Signature

Parent/Guardian Signature (If applicant is under is under 18):

How did you hear about deliverance ministry at Destiny Church?

RECEIVE DELIVERANCE

Deliverance Application:

Destiny Church

info.destinydayton@gmail.com