Registration Form

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Registration Form

Complete this form to experience Marriage Masters Live! online webinar, titled "Master Your Marriage, Not Your Mate: The 3 Keys & 7 Principles of a Happy Home." Be sure to include a valid email so that you can receive your webinar link, couple resources, and communicate with your Marriage Masters Personal Trainer.

Email *

First and Last Name of Attendee #1 *

First and Last Name of Attendee #2 *

Email Address for Attendee #1 *

Email Address for Attendee #2 *

Cell phone #1 (mobile # required for event participation)

Cell phone #2 (mobile # required for event participation)

Age of Attendee #1 *

Under 30

31 - 44

45 - 59

60 - 72

73 - 84

85+

Age of Attendee #2 *

Under 30

31 - 44

45 - 59

60 - 72

73 - 84

85+

How long have you been married? *

Where do you live? (City and State) *

Do you have children? If so, what are their ages? *

Are you having a specific issue that you want the presenter to address during the workshop? *

What would be for you the best outcome of attending Marriage Masters Live? *

This is an Adults Only event. Whether attending live or watching online, this material is not suitable for children. *

Yes, we understand that this is an Adults Only event and we will arrange childcare.

Yes, we understand that this is an Adults Only event. We do not need to arrange childcare.

Required

Do you have any other questions about this event? *

How would you rate your level of satisfaction in your marriage relationship? *

Fantastic! We want to get even better and achieve true mastery in the art of loving.

Good, but we have some issues that we want to address.

Okay, but it feels like we are living separate lives.

Difficult. We are struggling right now.

Terrible. We are on the verge of divorce and need to get help soon.

How would you like to pay for this training event?
*

Visa

Mastercard

American Express

Other

Required

NOTE: Event seating is limited and available on a first-come, first-served basis. Your registration will be complete when payment is received.

Please submit payment here.*

Directions to complete registration:
1. Open the payment portal in a new window.
2. After making your payment, return to this form and select "SUBMIT" to submit your information.

If you need help registering, send an email to paulinecommunityofstjoseph@gmail.com.
*Live event fees are not refundable but are transferable to future Marriage Masters Live or Marriage Masters Online training experiences.

We look forward to serving you at Marriage Masters Live!

Rate our registration process. How are we doing? *

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