How would you like us to acknowledge your request? *

Call and pray with me

Email me after you pray

Phone Number

(###)

###

####

Terms and Conditions *

Privacy and Confidentiality By submitting this form, you agree to these terms: • Providing information that can be used to identify you is optional • However, if you indicate an immediate danger of committing suicide, we may have to provide the information that you have given us to the appropriate authorities Accordingly, we will not release personal information except in the following circumstances: • If we believe we are required to release personal information to maintain legal compliance. • To prevent physical harm to you or to others. User Agreement When you request prayer or advice, you agree that Change Makers United, Inc. and its affiliates will not be liable for any damages or injuries resulting from the use, or inability to use services. Prayer and advice provided through Change Makers United, Inc. are not intended and shall not constitute pastoral counseling, professional counseling, any mental health services; prayer and advice services are not a substitute for mental health services. Additionally, prayer and advice services are not intended or implied to constitute legal advice, medical advice, diagnosis, or treatment. By submitting a request for services, you acknowledge and agree to the above stated terms and conditions. If you do not understand the terms and conditions, do not submit a request for services. Do you understand the terms and conditions?

Yes