Marriage Ministry Interest Form
Please fill out this form and click submit.
Husband First Name:
*
Husband's Email
*
This address will receive a confirmation email
Phone (Husband)
*
Wife's Email
*
This address will receive a confirmation email
Wife First Name:
*
Phone (Wife)
*
*Couples' Last Name:
*
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
What time of day is best to contact you?
*
Please select all that apply.
Morning
Afternoon
Evening
Weekends
Anytime
Interested In:
*
Please select one option.
Hearing more about the Marriage Ministry
Learning more about volunteer opportunities
Learning more about leadership opportunities
Select Option
Hearing more about the Marriage Ministry
Learning more about volunteer opportunities
Learning more about leadership opportunities
Have you completed a Spiritual Gifts Assessment?
*
Please select one option.
Yes
Yes, But It Has Been A Long Time
No
Select Option
Yes
Yes, But It Has Been A Long Time
No
Communication Lists:
*
Please select all that apply.
Please add me to the Marriage email distribution for news, updates and events
Please add me to the Pathway for Change Class – Room CY 123 & 125
Please add me to the Pathway for Change Class - Room CY 126
Submit
Description
Please fill out this form and click submit.
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