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Marriage Maxx Registration Form
Hello! This is a registration form for our Couples Mentoring & Support Group - Marriage Maxx!
The mandate is to raise couples with purposeful unions and bliss.
Expect fun, tips, support, hangouts, movie nights, sessions, prayers, get-away retreats and assessments. Expect even more bliss in your union and a union that heaven will applaud!
Whether in the UK, Canada or any part of the world, this is for you! - Tolu & Jackie
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Email
*
Your email
Name (Mr)
*
Your answer
Your email
*
Your answer
Spouse's Name (Mrs)
*
Your answer
Her email address
*
Your answer
Your WhatsApp Number (Mr)
*
Your answer
Spouse WhatsApp Number (Mrs)
*
Your answer
How long have you been married
*
Your answer
What's Your Wedding Anniversary Date
*
Your answer
What Country & Town do you live in?
*
Your answer
Are you BOTH interested in the Marriage Maxx Mentoring Program?
*
Yes
No
Why would you like to join Marriage Maxx Couples group?
Your answer
Are you able to commit to a 2 hour meeting at least once a month with other couples?
*
Yes
No
Do you think you will need a 1-1 with us? If yes why, what are the reasons?
Your answer
Do you have a pressing prayer request? If yes, please enter it below.
Your answer
How did you hear about the group?
Social Media
A friend
Coach Jackie
Other:
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Send me a copy of my responses.
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