• Instructions:

    To finish the registration process, completing this participant application is necessary for both the husband and wife. There will be sections of the application where each spouse will answer questions independently of each other. With both of you answering these questions, it helps our team to place you in a small group that best suits you. This application is confidential and only viewed by our team. Please be as accurate as you can while answering the following questions. Thank you!

  • Joint information:

    Husbands and wives, please fill out the information below together.
  •  -
  •  -
  • Do you have children?*

  • His application

    Husbands, please fill out the information below.
  • 1. (Check all that apply): Why do you want to participate in this marriage workshop?*
  • 2. (Check all that apply): Which statement best represents you?*
  • 3. (Select one): Which statement best describes your current spiritual state?*
  • 4. (Check all that apply): Which statement describes your current emotional/relational state? *
  • 5. (Check all that apply): Which of the following best describes the area of greatest need in your marriage?*
  • 6. We are asking all couples to consider participation in a Spirit Connection time during the workshop. (Spirit Connection is the inner-healing method created by the Byrnes.) This time allows you to receive specialized help in an area that hinders your marriage. This will be done in front of the whole group. It is usually a very powerful time. Please indicate your willingness to participate in a Spirit Connection session during the workshop by selecting an option from the list below:*

  • 6. How would you feel about being chosen to co-facilitate a small group:*

  • Her application

    Wives, please fill out the information below.
  • 1. (Check all that apply): Why do you want to participate in this marriage workshop?*
  • 2. (Check all that apply): Which statement best represents you?*
  • 3. (Select one): Which statement best describes your current spiritual state?*
  • 4. (Check all that apply): Which statement describes your current emotional/relational state? *
  • 5. (Check all that apply): Which of the following best describes the area of greatest need in your marriage?*
  • 6. We are asking all couples to consider participation in a Spirit Connection time during the workshop. (Spirit Connection is the inner-healing method created by the Byrnes.) This time allows you to receive specialized help in an area that hinders your marriage. This will be done in front of the whole group. It is usually a very powerful time. Please indicate your willingness to participate in a Spirit Connection session during the workshop by selecting an option from the list below:*

  • 6. How would you feel about being chosen to co-facilitate a small group:*

  • Should be Empty: