About You

Please take a moment to fill this out so we can best serve you. We are excited to see you in June!

Your Name*

Your Spouse's Name*

Your Email*

Your Spouse's Email*

We will be sending you live updates to your cell phone during the retreat. You don't want to miss out!

Your Cell Phone*

Your Spouse's Cell Phone*

We'd love to pray for your couple! Could you please provide a good quality photo?

Nice Couple Photo

Browse

Your Address*

How did you hear about this event?*

At Sunday service, or otherwise through the local church
Through email or website announcement from HQ or local church
From a friend
Other

Did someone specifically invite you? If so, who?

How long have you been married?*

What is your main purpose in attending?*

Inspiration and fun
Marriage recharge
We need a fixer upper
Someone is pushing me to go
Other

Have you ever participated in a marriage enrichment program before?

Do you or your spouse have any medical concerns we should be aware of?

Is there anything else you think we should know?

May we put your names on the "Who's Coming So Far" list?*

Yes
Only first names and last initial are displayed on the Registration Page. This can generate more excitement for the retreat!
No
You'll be displayed as a "Mystery Couple" and you can surprise all the other couples when you arrive!

* By registering you agree to allow the use of your photo by the Blessed Marriage Project and/or FamilyFed.

Child Care

We are looking to provide childcare for an additional fee on Friday night, all day Saturday and Sunday after church (during church- there will be Sunday School) for those who need it. If you are interested, please provide your child's information so we can best arrange childcare details.

Will you need help with child care?*

Payment

This includes the enrichment sessions, materials, and lunch for both Saturday and Sunday, and refreshments throughout.

** Accommodations, breakfast and dinner are the responsibility of each couple. **

Please Choose Your Rate*

Suggested Amounts

Support Another Copule ($450)
Regular Rate ($225)

Scholarship or Promo Code

Total

$0.00

Billing Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*

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