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Love and Respect Small Group Study
Participant Registration Form

This is a small group study using the Love and Respect book and accompaning workbook. Weekly readings by both participants is encouraged but not required.

Husband's Name *
Your answer
Wife's Name *
Your answer
Primary Cell Phone *
Your answer
Primary Email Address *
Your answer
We need childcare during the small group study for our children 1year and older? *
If you answered yes to childcare, how many children will be attending?
Your answer
Please list the ages of the children attending:
Your answer
We look forward to seeing you on April 8th!
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