Crazy8 Application For Biblical Counseling

Application For Biblical Counseling
Our Counseling Program Mission is to come alongside you to help identify your struggle and guide you to the scriptural principles that instruct and direct your walk of faith; to help you find healing from the past, give practical help today, and strive towards living victoriously tomorrow.

While our counseling sessions are free, we do have a one-time, non-refundable $25 application fee that will be required prior to receiving our services to ensure your commitment to your personal healing.
What type of counseling are you applying for?*

Individual AdultMaritalMinor Child
Is the individual adult yourself or someone else?*

SelfOther Adult

We are sorry, but our policy is that the individual seeking counseling must fill out their own application and cannot be signed up by another adult. You may call (817)202-8408 or email our Counseling Director at angela@crazy8ministries.com with any questions.

Child Information
Please note that you will be expected to be a part of your child’s counseling process. There are various ways you can be involved:
1. You may engage in counseling for yourself.
2. Depending on your child's needs, you may be asked to participate in their counseling sessions.
Our desire is to build up families and further equip them to communicate God’s love to one other effectively.
Child's Full Name*

First NameLast Name
Child's Age *
Child's Gender*

MaleFemale
If the child is under 18 years old, are you the legal guardian?*

YesNo
What is your relationship to this person?*
Full Name of legal guardian*

First NameLast Name
Phone Number of legal guardian*

Area CodePhone Number
Does your child have any special physical needs or learning difficulties for us to consider?*
What are the circumstances that have caused you to pursue counseling for this child? Explain how these these circumstances are affecting your child? And please list any present behavior concerns.*

Additional Informational Questions
Briefly describe the challenges you are facing that led you to seek counsel.*
List your available days/times for counseling sessions and preferred method (in-person/virtual/phone):*
If you attend church, which one do you attend?
How did you hear about Crazy8 Ministries?

Payment Options
Your one-time, non-refundable $25 applcaiton fee can be processed may different ways. Please select below which way works best. Payment will need to be received prior to the first counseling session.
How would you like to pay?:

Online with Credit/Debit CardOnline with PayPalMail in Check or Money OrderDrop off Cash, Check, or Money OrderCall to process over the phone

Payment Information & Submit
We can take credit card or bank draft payment over the phone

Please call: 817-202-8408
Ask for Angela Hinojosa

Office Hours:
Monday - Thursday
11:00am - 4:00pm
Make check or money order payable to: Crazy8 Ministries
Include in note section: Application Fee for 'NAME'
Mail to:
Crazy8 Ministries
Attn: Gina Yates
PO BOX 2833
Burleson, TX 76097
Make check or money order payable to: Crazy8 Ministries
Include in note section: Application Fee for 'NAME'

Cash, check, money order payments are accepted at our Main Campus | Ask for Angela Hinojosa

Office Hours:
Monday - Thursday
11:00am - 4:00pm

Main Campus Address:
Crazy8 Ministries
1100 W. FM 917
Joshua, TX 76058
By checking this box I understand that Crazy8 Ministries holds discipleship and mentoring in high regard and the counseling room is a place of training for those in our Biblical Counseling Certification Program. Because of this, I may have an additional smiling face in my counseling session for observation/training purposes who has agreed to Crazy8's privacy policies.*

I understand.
Type your full name below as your online signature.*

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Enter coupon

Application For Biblical Counseling