Couples Retreat Registration Request
Please enter the following information.
Contact Information:
Husband Name: *
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Wife Name: *
Your answer
Mailing Address: *
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E-mail Address: *
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Phone Number: *
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Additional Information
How long have you been married? *
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What is the biggest challenge in your marriage? *
Your answer
What do you hope to gain from the retreat? *
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Which days would you prefer? *
The retreat is 1 1/2 days long (i.e Friday afternoon and all day Saturday).
Additional Information:
Please feel free to share any further information if you desire.
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