Testimony Submission Form

Testimony Submission Form

Please send in a written testimony of healing that you would like to share with the larger Christian Science community. Ideally, this healing will have taken place at The Leaves (it could be from a friend or family member with their permission), while working for The Leaves, or resulted from inspiration you gained while at The Leaves or studying / practicing Christian Science Nursing or Christian Science.
Please type your name*
First name and Last name
Want to stay anonymous?*

No, it's okay. You can share this testimony with my name.Yes, I want to remain anonymous. (Instead of stating your name it will just say "a staff member at The Leaves").
Consent / Release*

Yes, The Leaves can publish this testimony.
Clicking "Yes" above grants The Leaves, Inc. permission to use your words (spoken and written) in whatever purpose it may serve, including but not limited to all print and digital publication and distribution, including on social media. You will not be paid for the use of your words.
We reserve the right to use these words for The Leaves’ promotional campaigns and all future publications. However, we will not use the content in any way unrelated to The Leaves.
Please type your testimony here.*
Should be Empty: