HPC 1:1 Prayer Request Form

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This form allows you to request a private 1:1 prayer session with Brittanei. Whether you need encouragement, intercession, or simply someone to stand in faith with you, we are here. Fill out the form, and we’ll schedule your session as soon as possible!

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Discord Name* This field is required.

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Preferred Contact Method for Confirmation:* This field is required.

Email

Discord

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What time range works best for you? (All times in EST)* This field is required.

Morning (6 AM - 10 AM)

Afternoon (12 PM - 4 PM)

Evening (6 PM - 9 PM)

Other

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Would you prefer:* This field is required.

A scheduled private session

A drop-in session during Brittanei’s open office hours

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What would you like prayer for?* This field is required.

Spiritual growth & relationship with God

Emotional healing & mental wellness

Family & relationships

Purpose, calling, & clarity

Breakthrough & deliverance

Other

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Would you like to share specific details about your request?(Optional but encouraged)* This field is required.

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Do you need a follow-up after your session?* This field is required.

Yes, I’d love a check-in.

No, I’m good with a one-time session.

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How did you hear about 1:1 prayer sessions?* This field is required.

HPC Discord

Bible Study

Instagram/Facebook

Referred by a friend

Other

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I understand that this is a faith-based session and that Brittanei will provide prayer and encouragement, not professional counseling.* This field is required.

YESNO

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📍 Once you submit, you’ll receive an email confirming your session details!