Please fill out the form below or give us a call at (717) 945-3081.Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email* Phone*Best time to contact you?Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a member of Threshold Church?* Yes NoIf not, how long have you been attending?How did you hear about Threshold Church?*Describe your testimony and relationship with God.*Describe why you are seeking deliverance ministry. What areas are you needing freedom in?*How long have you been experiencing this?*Have you ever received counseling or ministry for this in the past? If so, when and what was your experience?*Are you aware of anything that may have given access to demonic influence in your life? If so, briefly explain:*I understand that any private prayer ministry sessions are in-person only and based out of Lancaster, PA. Are you willing to come to Lancaster, PA for ministry?* Yes NoSubscribe Subscribe to the Monthly Deliverance Newsletter!By submitting this form, I acknowledge that my request will be kept on file until ministry opportunities become available and I understand and agree that personal prayer ministry received through Threshold Church is not Licensed or Professional Counseling and does not take the place of Licensed or Professional Counseling Services.CommentsThis field is for validation purposes and should be left unchanged.Δ