Midnight Prayer Watch Guest Sign-Up

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Name* This field is required.Please provide your name or how you would like the Midnight Prayer Watch host to refer to you as.
First Name
Last Name
2
Email* This field is required.Please provide your email address.
example@example.com
3
Phone Number* This field is required.Please provide your most reliable contact number.
Country Code
Area Code
Phone Number
4
During your 30 minute interview the host will invite you to pray for the audience with a corresponding prayer point; if you are able to pray, please select which prayer point you will intercede for.* This field is required.Which prayer point are you interested in?
Trauma
Missions
Depression
Anxiety
Children
Social Media
Relationships
Healing
Purity
Purpose
South Korea
I will partner instead of pray during the prayer intercession segment
5
Are you available to join the live taping of Midnight Prayer Watch?Will you be willing to tape your interview episode during a live show on Fridays at 11 AM EST?
Yes
No
6
If you are unable to make it to our live taping, please mark which time slot(s) you are available to pre-record your episode.* This field is required.Please select the time slot(s) you will be available for the show
I'm joining the live taping
Saturday 6:00 PM to 7:00 PM EST
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Please select the date you are available to attend our live taping OR which date(s) you are available to pre-record your episode. The date(s) must match with the slot(s) you selected in the previous question.* This field is required.Reminder: If you are joining the live taping, only select Mondays.
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Please Upload a Photo of Yourself* This field is required.Please upload a profile picture of yourself, preferably a professional headshot. This photo will only be used to promote your episode on all associated media platforms. Note: After you choose your image, select "Please Upload Image" again before moving to the next screen.
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Additional CommentsPlease enter any additional comments or questions you have.
Should be Empty: