LAM Application form

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!
LAM Workshop Location & Name*
If you are unsure, please contact info@nothinghidden.com.au
Joint information:

Husbands and wives, please fill out the information below together.
His preferred name:*

First NameLast Name
His contact number:*

Area CodePhone Number
His email:*
example@example.com
His Age*
Her preferred name:*

First NameLast Name
Her contact number:*

Area CodePhone Number
Her email:*
example@example.com
Her Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years Married*
Preferred contact name:*

First NameLast Name
Preferred contact email:*
example@example.com
Do you have children?*

YesNo
If so, please list their ages:
please use a comma ',' to separate each child's age
Home church name:
(If applicable)
Are you interested in bringing Love After Marriage to your church?*
Please choose one
How did you hear about us?*
Please choose one
If other, please indicate here:

His application