Freedom Session

Hello! We are excited that you are considering taking Freedom Session with us this year. Meetings will be Wednesday evenings, 7pm to 9pm, beginning on September 17 and ending May 6, 2025.

Freedom Session is a 28-week intensive journey that uncovers and offers healing for the deeper heart issues that often fuel our unhealthy attitudes, harmful behaviours and destructive choices.

We all have hurts, unresolved conflicts and unhealthy ways we avoid dealing with them along with justifying behaviors that offend those we love. Freedom Session is for people struggling in their relationships, those preparing for marriage and those walking through a painful separation or divorce. It is for those who’ve been wounded through sexual abuse, abandonment or domestic violence. It is for perfectionists, avoiders, men and women addicted to pornography/alcohol or drugs, workaholics and those with frozen emotions. It helps people deal with depression, food addiction/disorders, cutting and those who feel they are victims. It is for longtime church attenders and those who are skeptical of Christianity. Freedom Session is for people who just sense something is missing, who are wondering if this is all there is to life or is there something more. For more information on Freedom Session, check out their website at www.freedomsession.com

We believe God has an exciting and challenging journey of healing, wholeness, and purpose for you. We want to walk beside you with both authenticity and integrity. This registration form might seem a bit long and in-depth, but the goal is to ensure we journey with you well. Your information is held in strict confidence. Only the Directors will have access to your registration. If you have any questions, please email Pastor Melissa.

The cost is $90 for registrants, payable in 3 installments during the 28 weeks. The first $30 is due September 24. This covers the workbook costs. Payment can be made via e-transfer to give@mckernanbaptist.ca (specify Freedom Session in message area), or paid online after the submissions of your completed application below.

*Denotes Required Field * Title

Contact Information

* Name (first and last)

* Address

* Postal Code

Phone

* ( ) -

Email address

Personal Info

* Gender

* Age

Relationship Status
Please reply to one of the following scenarios.

* Are you single?

If you're currently dating, how long have you been dating (yrs or mos)?

If you're in a common-law relationship, how long have you been in this relationship (yrs)?

If married, how long have you been married (yrs)?

If married this is my ____ marriage,

If separated, how long have you been separated (yrs)?

If divorced, how long have you been divorced (yrs)?

If widowed, how long have you been widowed (yrs)?

The Freedom Session Program

* Have you attended Freedom Session before?

When?

Completion status:

* Have you attended other recovery programs?

When?

What program and where? (i.e. AA, Celebrate Recovery)?

* How did you hear about us?

General Information

* Do you attend this church?

How long have you attended this church?

* Do you attend another church?

Which church do you currently attend?

* Are you currently under the care of...

Are they in favor of you participating in this program? Please explain why or why not.

Are you currently on any medication for

Depression

Anxiety

Insomnia

Eating disorders

Other emotional/mental illness

Please explain.

Registration / Consent / Privacy Commitment

I hereby give consent, to the organization/church to which I submit this form, to use the personal information above/below for my pastoral care, participation in church related activities and emergency care. I understand that my personal information may be given to pastoral and/or church staff, program leaders, event coordinators and emergency personnel on a need to know basis. My personal information will be securely stored in an appropriate place, and will not be passed on to any third parties without my/our prior consent. By agreeing, I indicate that I have read, understand and approve the above and that this information will be stored for a minimum of one (1) year. I further understand that neither Freedom Session Resources nor Freedom Session International Ministries has any privilege to this information or responsibility for it.

* Do you agree to this statement?

* Signature (Type your name)

* Date

Personal Questions
Please check all boxes that apply

Your honest answers to the following questions will help us place you in the FS Small Group we feel will be the most helpful to you. Note: While we do our best to accommodate all who register, we reserve the right to accept or deny registrations based on space, leadership ratios or suitability (in our opinion) that FS will be helpful for you.

Has anyone suggested that you attend FS?

Why?

Do you feel like you are different than �normal�?

Have you been told that your expectations are unrealistic?

Do you have a strong need for control - either in your life or over others?

Do you find yourself believing you are unworthy?

Are you a �people-pleaser�?

Does the fear of failure paralyze you into doing nothing?

Do you lie to cover up for someone else�s mistake or drug/alcohol use?

Do you protect others from the natural consequences of their behaviors and/or actions?

Have you had an abortion?

Have you pressured a partner, family member, or friend to have an abortion?

Is there one particular event in your life for which you feel intense guilt/shame that you cannot seem to shake and believe that you could never be forgiven for?

Are you afraid to upset other people for fear that they will somehow hurt, reject, or maybe leave you?

Do you feel like you are personally responsible for other people�s lives, decisions, or drug/alcohol use?

Do you make promises or threats that you don�t carry out? (i.e. �If you ever do that again, I�m leaving.�)

Do you/have you experienced feelings of fear/hatred towards the opposite sex?

Do you have trouble believing/receiving God as a loving Father?

Have you ever been physically abused?

By:

Have you ever been sexually abused?

By:

Do you have gaps in memories from your childhood?

Do you find yourself avoiding relationships or struggling with intimacy?

Have you been sexually promiscuous before/outside of marriage?

Do you smoke/vape?

If yes, how long have you been smoking/vaping?

How many times per day do you smoke/vape?

Do you drink (socially or other)?

If so, average number of drinks per day

If so, average number of drinks per week

Have you ever struggled with chemical dependency?

If so, how much sobriety do you have?

Do you find yourself using drugs (prescription and/or illegal) or alcohol in secret and/or to suppress emotional pain or stress?

Have you lied to others or made excuses to yourself about your sexual conduct?

Has anyone ever expressed concern about your sexual behaviour?

Do you find yourself regularly watching inappropriate TV/movies that you wouldn't view with others present?

Do you regularly purchase or view sexually explicit materials? (e.g. online videos, printed materials)

Have you made efforts to quit a type of sexual behavior and failed?

Does your weight (over or under) cause you or others concern?

Do you comfort yourself with food when feeling hurt, angry, depressed, or bored?

Have you ever struggled with binge eating, purging, or restrictive diets?

Has self-harm (i.e. cutting) been part of your experience?

If yes, within the past 6 months?

Have you ever entertained any thoughts of suicide in the last twelve months?

Do you feel alone in your problem?

Do you find it hard to trust, especially those in authority?

Do you avoid emotional intimacy?

Do you avoid physical intimacy?

If married, do you avoid sexual intimacy?