Please complete this form if you have participated in a Couple Enrichment event in the past and/or if you wish to be notified of future Couple Enrichment events. For past events, just fill in what you can remember. Many thanks!

For more information, please go to http://friendscoupleenrichment.org or email us at info@friendscoupleenrichment.org.

Partner 1 - First Name
Your answer
Partner 1 - Last Name
Your answer
Partner 1 - Email Address
Your answer
Partner 2 - First Name
Your answer
Partner 2 - Last Name
Your answer
Partner 2 - Email Address
Your answer
We would love to keep you in the loop, with occasional notifications about future CE events. Is this OK?
Required
Your Home State / Province
Your Monthly Meeting (if Quaker)
Your answer
Your Yearly Meeting (if Quaker)
Your answer
When did you last participate in a CE event?
(approximate is fine)
MM
/
DD
/
YYYY
Where did this event take place?
Try to be more specific than "on earth"
Your answer
Who were the leader couple(s)?
It's fine if you can't remember full names. A first name or names will suffice.
Your answer
What type of event was it?
Any Additional Comments?
Your answer
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