Onboarding Form | Naked & Unashamed

Faith Background*
Give a brief description
Church Status*
Name & Location, if applicable
Mother Living?*
- Yes
- No
Father Living?*
- Yes
- No
Have you accepted Jesus Christ as your Lord and Savior?*
(Yes/No) if yes, explain

Counseling Terms & Conditions*
I agree
Counseling fees must be paid in full prior to the beginning of each session.
Cancellation/Rescheduling Policy*
I agree
Appointments cancelled or rescheduled within 48 hours of the scheduled time will incur a 60% session charge.
Missed Session Policy*
I agree
Missed sessions will incur a full session charge and are ineligible for refund.
Electronic Signature*
Please enter your full name to electronically sign the above agreement.
First Last
Name
This field is for validation purposes and should be left unchanged.

NAU Ministries Onboarding Form