mySOZO ONLINE BOOKINGPlease enable JavaScript in your browser to complete this form. - Step 1 of 4Liability Release *Select here to acceptI agreeI do hereby release the Bethel Sozo ministry [Local Harmony Church Team] and its volunteers from any liability for any harm, or perceived harm, resulting from my voluntarily receiving of prayer, facilitation, guidance, advice, help and all other assistance (SOZO) on this SOZO or subsequent SOZOs. I realise that the Bethel Sozo Ministry of Harmony Church is staffed by volunteers. They are not trained or licensed professionals of counselling, therapy or medical services. I undertake that if I am currently taking medication, or operating under the advice of a professional service, I will allow my medical doctor, therapist, counsellor etc. to confirm any results of the SOZO before altering any prescribed course of medication or action. I further state that I have voluntarily sought the SOZO at my own initiative, and that I am under no obligation to accept or reject any of the advice or help that I might receive from the team members of this ministry. I understand that these team members are, to the best of their ability, doing what they can to help me achieve more freedom in my life. I agree to hold Harmony Church Sozo free from any and all liability, loss or damage of any kind that may arise as a result of the SOZO, or from my involvement with Harmony Church Sozo. I also agree that I, nor any person that maybe accompanying me, either on my behalf or for their own interest, will not, and will not attempt to, record (whether by way of video, phone, dicta-phone, camera or any other method), publish or otherwise make publicly available all or any part of the SOZO, including any audio, visual, written, action or other element of the SOZO. I understand that the people who will see my information will be Bethel Sozo ministry team members only. However, in certain circumstances they are bound to pass on information to the relevant authorities if a person is at risk, or certain criminal acts are disclosed. Our team members offer SOZOs to anyone regardless of ability to pay. Although there is no charge for a SOZO, all efforts to build and support this ministry and train our team members are paid from donations of those receiving a SOZO. We suggest a kōha / donation of $30- $50 per visit. Your contribution to this ministry is greatly appreciated. I have read this disclaimer and release of liability form and understand and agree with it, and I have executed it as my free and voluntary act.ContinueName *FirstLastPhone *Email *EmailConfirm EmailGender *ChooseMaleFemaleWhat Church do you attend? *If you don't attend a church just type "None"NextHow did you hear about Sozo? *Have you had SOZO ministry before? *ChooseYesNoIf yes, When? Where?Why do you want to have a SOZO? *NextWill you be able to set aside time to fast/seek God prior to your SOZO? *ChooseYesNoUnsurePreferred SOZO time (You can select multiple) *Monday 7:30PMWednesday 10AMWednesday 12PMWednesday 2PMNote: If your preferred time is not available we will notify you by email.What area do you live in? *ChristchurchOutside ChristchurchSozo via Zoom *I would like Sozo via ZoomI will travel to ChristchurchZoom option is only available for those outside of Christchurch as our preference is to meet in-person.Please select any that apply to youAnxietyHeadachesDepressionRecent LossSexual AbusePhysical AbuseSleep DisturbanceNote: Your personal information is held securely and handled in line with our privacy policy.Do you have any illness in your family line that is/may affect you now or in the future? *ChooseYesNoUnsureHave you been diagnosed with DID or SRA? *NoDIDSRANote: If you are unsure or don't know what these are your answer is likely 'no'Additional Comments / QuestionsPlease let us know of any additional info that you think would be helpful for us.Submit