Christian Life Program Participants'               Information Sheet
CLP Registration Form
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Email *
Please indicate which ministry will you join. *
Participant's First Name *
Participant's Last Name *
Date of Birth *
Address *
City/State/Zip Code *
Phone *
Occupation *
Phone *
Name of Church where you were married *
Date of Marriage *
Town/City/Country *
Religious Denomination (if not Roman Catholic) *
Parish Affiliation (if Roman Catholic) *
Name(s) of relative(s) now with Couples for Christ and it's ministries
From whom did you come to know about the Christian Life Program / Couples for Christ?  Please indicate his/her contact information (if known) *
I/We have attended or are members of: *
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