Child Sozo session application form | Dare To Believe Ministries

Child Sozo Appointment Request Form

"*" indicates required fields

Please note: If the child is 18 years of age or older they will need to fill out the Adult Sozo form here: https://dtbmn.org/sozo-ministry-appointments/

Name of child*

First Last

Gender of child*

Male

Female

Name of Parent/Guardian 1*

First Last

Name of Parent/Guardian 2

First Last

Each parent who primarily lives with the child is required to have received a Sozo session prior to Child's Sozo session. When did each parent receive their Sozo session?*

Example: -Parent 1 Name received Sozo session on DATE at LOCATION -Parent 2 Name received Sozo session on DATE at LOCATION

Why does your child need a Sozo session?*

Are there concerns you want us to be aware of? Please share as much detail as you can.

Has your child had a Sozo session before?*

Yes

Number of Child's siblings and ages*

Please list the child's siblings and their ages, if applicable. If child has no siblings, please write N/A.

Best phone number for parents*

Please include the best phone number to reach you.

Best Email Address*

Please include the best email address where we can reach out to follow up.

Note: All Child Sozo sessions will happen in person at Dare to Believe Ministries (13798 Parkwood Dr, Burnsville, MN 55337). We do not have a Zoom option for Child Sozo sessions.

Phone

This field is for validation purposes and should be left unchanged.

Adult Sozo Appointment Request Form

If you select a location other than Burnsville we will forward your request and someone from that ministry will get back to you about scheduling! Some locations offer Zoom, evening and weekend appointments. SEE BELOW:

Child Sozo Appointment Request Form