Re|engage Fall 2026

Signup for Re|Engage Marriage Ministry

Registration is full. Please fill out the form and you will be put on the waiting list..
Re|Engage is a...

9-week In-Home small group setting with couples from Amplify Church. Dinner & childcare are not provided (see check box at bottom of form if you need help finding childcare). 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 NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Spouse Name:
Spouse's Email
example@example.com
Spouse Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you attend Amplify Church?
If needed would your schedule allow for you to meet on Sundays from 4-6 pm?
Are you and your Spouse in your:
What stage of Life is your family in?

How would you rate your Marriage?

	1	2	3	4	5	6	7	8	9	10

1 is Low, 10 is High

How many years have you been married?
Biggest Challenge in your Marriage?
Communication, Work, Family, Intimacy, etc.,
Check box if you need help finding childcare
After you press the "Submit" button, you will be sent an email confirmation. You will also be automatically directed to payment website called RebelGive. Please enter the amount of $60 as the total registration fee for you and your spouse. Also select "ReEngage" as the fund you are giving to. After making your payment, you will also receive a confirmation email from RebelGive.
Should be Empty:

Signup for Re|Engage Marriage Ministry