Marital Coaching Registration Form

Marital Coaching Registration Form

General Information


For HUSBAND to complete:

For WIFE to complete:

FOR BOTH: In your marriage, what are the current struggles in your relationship? You may check more than one.

After clicking SUBMIT, you will be taken to a payment page where you will have the option to pay the $50 coaching fee now by PayPal or major credit card.

If you prefer to pay at your first coaching session instead, please just exit the PayPal page.

To pay by check please send to the church address shown at the bottom of this website.