Application Form | Angels of Divine Light

Gender *

Male
Female

Firstname(s) + Birth lastname (+ please no wedding name) *

Date of birth *

Address *

Zipcode + city + state + country *

E-mail address *

Phonenumber + included country code *

Are u living together with your partner? *

Yes
No

Firstname(s) + Birth lastname (+ please no wedding name) + date of birth partner

Are u / your partner/applicant(s) pregnant? *

Yes
No

Do u / your partner have co-parenting? *

Yes
No

Do u / your partner have children living at home? *

Yes
No

Firstname(s) + Birth lastname (+ please no wedding name) + date of birth of children living at home

Do u / your partner have (house) pet? *

Yes
No

Name + age (house) pet

Commentary / other people living at home (Firstname(s) + Birth lastname (+ please no wedding name) + date of birth)

__________________________________________________

By sending this application form, u / the applicant(s) declare, confirm and accept:

- U gave permission for the Healing Prayer

- U know the Healing Prayer is not instead of medical treatment

- U are not Pregnant 🚫

- U know that the Healing is a Prayer and it depends on God

- U know the Angels of Divine Light Healing Prayer a continue system is with maybe adjustments

- U declare that the information you provided on the application form is true

- U know the information will be save for administration

- U know this information will be treated confidential

__________________________________________________

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Application Form Angels of Divine Light Gebedshealing