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Marriage Mentoring

Marriage mentoring is designed to come alongside couples wherever they may be in their journey. Whether newly engaged, going through a difficult time, or just wanting to see your marriage continue to flourish, marriage mentors provide Christ centered support and wisdom in any season.

Please fill out the form and we will follow up with you with more information!

A one time fee of $50 is due upon registration per couple: PAY HERE.

Your name *

Last name

Email address *

Wife/Bride (Female)

Full Name *

Birthdate *

Phone number *

Phone type

Address *

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Ethnic Origin *

Highest Level of Education *

Member/Regular Attendee at our church? *

Why do you want to be mentored? *

Pre-Marital Counseling

Are you looking for pre-marital counseling? *

More About You (Female)

Occupation: *

Hobbies: *

Pet Peeves: *

Strengths: *

Weaknesses: *

Check the answer below that best describes you *

Seeker/not yet a Christ follower

New Christian

Committed Christian

Agnostic

I’m not sure what I believe

Marital Status

How long have you been married to your current spouse? *

Have you been previously married? *

Children? *

Husband/Groom (Male)

Full Name *

Birthdate *

Phone number *

Phone type

Address *

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Ethnic Origin *

Highest Level of Education *

Member/Regular Attendee at our church? *

Why do you want to be mentored? *

Occupation: *

Hobbies: *

Pet Peeves: *

Strengths: *

Weaknesses: *

Check the answer below that best describes you *

Seeker/not yet a Christ follower

New Christian

Committed Christian

Agnostic

I’m not sure what I believe

Marital Status

How long have you been married to your current spouse? *

Have you been previously married? *

Children? *

Mentoring Agreement

Mentoring Agreement *

We understand that the Mentor Couple we meet with are not professional counselors, but volunteer marriage mentors who agree to share their life experiences with us in an effort to help us strengthen our marriage. We understand that we are responsible for the success of our own marriage and do not hold our Mentor Couple, Dare to be Different, Love & Respect and the church we attend responsible for the state of our marriage throughout the mentoring sessions or any time thereafter. We fully release them from any liability.

(by checking this box you both agree to the terms above)

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