Couple Empowerment Programme (CEP) Registration Form
Yes! We would like to build an emotionally intelligent and Christo-centric marriage!
I would like to attend CEP at: *
Have you attended CEP before? *
Husband's Details
First Name
Your answer
Last Name
Your answer
Mobile Number
Your answer
Email
Your answer
Religion
Your answer
Wife's Details
First Name
Your answer
Last Name
Your answer
Mobile Number
Your answer
Email
Your answer
Religion
Your answer
Family Details
Years Married
Your answer
Number of Children
Your answer
Parish You Belong To
Your answer
Children's Details
For the purpose of child care service, please let us know the names of children who will be attending the CEP with you and their ages.
Child #1 Name / Age
Your answer
Child #2 Name / Age
Your answer
Child #3 Name / Age
Your answer
Child #4 Name / Age
Your answer
Child #5 Name / Age
Your answer
Child #6 Name / Age
Your answer
General
Remarks
Your answer
Payment*
Please make cash payments or internet bank transfers to POSB account no. 305-02776-6** (S$200/- per couple for the Programme to defray the costs of book, handouts, meals and refreshments and S$40/- per child, if child minding services are required).
(*) We accept a love offering in cases of financial hardships.
(**) Kindly indicate your names in the remarks section and email the amount transferred and transaction reference number.
Privacy Policy
Kindly note that by providing the Couple Empowerment Programme (CEP) with your personal data, you agree and consent to the collection of the above personal data by CEP and for the purpose of communicating to you details about the various programmes, events, meetings, workshops and other activities of CEP and other related purposes.

Where you are providing such personal data on behalf of others, you confirm that you have obtained the consent of these individuals for the disclosure of their personal data for the purpose stated above.

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