Sparrow House Marriage Workshop Registration 2026
April 17th-18th, 2026
Hosted by Sparrow House Counseling

We look forward to having you join us for a great weekend of learning and connection. You will receive a follow-up email with more details and some optional prep work. For now, we just need some brief info about you. Thanks!
Sign in to Google to save your progress. Learn more
Email *
Registration fee: $275/couple

Click "Pay Here" below to pay through the secure Venmo business account link. You may also pay by check, made out to Sparrow House Counseling, and you can bring it to the workshop. If you have any questions for Dr. Kirby prior to registration, please email josh@sparrowhousecounseling.com.
How did you hear about the workshop?
Husband name *
Husband email *
Wife name *
Wife email *
Phone number(s) *
How long have you been married? *
If applicable, how many children do you have and what are their ages? *
Please briefly outline your goals for the workshop *
What areas are you MOST interested in at the workshop?
Pre-Screening *
Required
Have you attended or are you currently attending marriage counseling? *
Would you like for Dr. Kirby to call you prior to the workshop to discuss concerns or answer any questions you may have?
Clear selection
Is there anything else that you would like for us to know prior to the workshop?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report