Fellowship Bible Church - Care - Family Ministry - Marriage Mentoring Registration

Request Marriage Mentoring We're so glad you are interested in being matched with a marriage mentor couple who will commit to walking alongside you in your marriage. You're making a great decision to get involved in this program. Please take a moment to complete this brief form so we can make the best match possible for you.
*Name ?
Address
City State Zip #
*Phone ?! Cell !
Email !
*Wedding anniversary 00/00/0000 ?!
Children? Yes No If yes, provide ages and genders
Previously married? Yes No If yes, please explain
How would you rate your marriage? [1 = Not Happy to 10 = Very Happy] 1 2 3 4 5 6 7 8 9 10
For which category are you seeking a marriage mentor? Preparing for marriage Maximizing your marriage Repairing your marriage
In specific terms, what are you hoping that a marriage mentor couple will do for you? Exceeded maximum number of characters.
Do you have any unusual scheduling issues that may impact when you can meet with your mentors? Exceeded maximum number of characters.