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The Marriage Course Online Registration Form
The Marriage Course Online Registration
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
 
What is your spouse's first and last name? *
 
What is your gender? *
male
female
 
What is your age group? *
20-29
30-39
40-49
50-59
60+
 
We attend: *
Hope
another church
no church affiliation
 
How many years have you been married? *
less than 5 years
5-10 years
11-15 years
16-20 years
21-25 years
26-30 years
31-35 years
36-40 years
40+ years
 
Please check all that apply *
My child/ren is/are currently enrolled in Worship on Wednesday (WOW) or Reach Out 56 (RO56)
My child/ren NEED(s) to be enrolled in Worship on Wednesday (WOW) or Reach Out 56 (RO56)
I will need childcare for my child/ren ages infant through pre-k
 
Please provide the FULL NAME(S), AGE(S) child needing to be registered for Nursery/Jubilation Station. (If you NEED to register your school aged child/ren for Worship on Wednesday or Reach Out 56, please download the form at http://images.acswebnetworks.com/1/320/KQWOWChildReg.pdf and return it to Children's Ministry. For more information, contact michaelle.bown@hopewdm.org.)
 
The Marriage Course costs $15 per couple for books. A free-will offering will be accepted for desserts.
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