Your Full Name:
Your Email Address: (e.g.: you@aol.com)
Your Phone No:
01. Length of Fast (LOF)
24 hours a day for one day per week
24 hours a day for two days per week
24 hours a day for three days per week
At least 12 hours a day for one day per week
At least 12 hours a day for two days per week
At least 12 hours a day for three days per week
At least 6 hours a day for one day per week
At least 6 hours a day for two days per week
At least 6 hours a day for three days per week
OTHER PRAYER AND FASTING SCHEDULE YOU COULD COMMIT TO
02. Hours of Fast (HOF), i.e., Hours of a 24-hour day (AM or PM) you can commit to
6 AM-12 NOON
6 AM-6 PM
12 NOON-6 PM
6 PM-12 MIDNIGHT
12 MIDNIGHT-6 AM
12 MIDNIGHT-12 NOON
OTHER PRAYER AND FASTING HOURS YOU COULD COMMIT TO:
03. Days of Fast (DOF), The days of the week you can commit to?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday-Monday
Monday-Tuesday
Tuesday-Wednesday
Wednesday-Thursday
Thursday-Friday
Friday-Saturday
Saturday-Sunday
Sunday-Tuesday
Monday-Wednesday
Tuesday-Thursday
Wednesday-Friday
Thursday-Saturday
Friday-Sunday
OTHER DAY OR COMBINATION OF DAYS YOU COULD COMMIT TO
04. Type of Fast (TOF), An Esther Fast or variations thereof will be adhered to by the group. Which of these can you commit to?
Modified Esther Abstinence Fast (No food, No Water or Drink for as long as elected in 1-3 above)
Modified Esther Water Fast (Water Only, No food for as long as elected in 1-3 above)
Modified Esther Drink or Water Fast (Water and/or Drink Only, No food for as long as elected in 1-3 above)
OTHER, IF CANNOT COMMIT TO ANY OF THE ABOVE OPTIONS
05. Refer a friend (E-mail Address), be blessed and give God the glory!
READ MY DREAM GUESTBOOK! 
