Waitlist for Re|Engage Marriage Ministry
If Spots become available you will be contacted with more information.
9-week Group Setting with Couples from Amplify Church. Dinner & Childcare not provided. Please understand that this is a 9-week commitment. Attending each week ensures that you will get the most out of your experience.
Registration Information:
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Spouse Name:
Spouse's Email
example@example.com
Spouse's Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you attend Amplify Church?
Yes, I regularly attend
No
If needed would your schedule allow for you to meet on Sundays from 4-6 pm?
Yes
No
Are you and your Spouse in your:
20s
30s
40s
50s
60s
70s
What stage of Life is your family in?
Newly Married
Preschool
Elementary
Middle
Highschool
Empty Nesters
How would you rate your Marriage?
1
2
3
4
5
6
7
8
9
10
Low
High
1 is Low, 10 is High
How many years have you been married?
Biggest Challenge in your Marriage?
Communication, Work, Family, Intimacy, etc.,
Submit
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