Completion of this registration form, submitted with your payment, will confirm your spot in the workshop and / or will initiate couples session appointments. The fee for the workshop is non-refundable after the registration deadline has passed. Partner One Information Partner #1: Name Partner #1: Gender & Pronouns Partner #1: Email Partner #1: Phone Partner #1: Address Partner #1: City Partner #1: State Partner #1: Zip code Partner #1: Birthdate Partner #1: First Marriage YesNo Partner #1: Children YesNo Partner #1: Ethnicity-Check all that apply American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer Wedding Date (Optional but helpful): Partner #1: Religion Parish Name Partner Two Information Partner #2: Name Partner #2: Gender & Pronouns Partner #2: Email Partner #2: Phone Partner #2: Address Partner #2: City Partner #2: State Partner #2: Zip code Partner #2: Birthdate Partner #2: First Marriage YesNo Partner #2: Children YesNo Partner #2: Ethnicity-Check all that apply American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer Minister's Name (Optional but helpful): Partner #2: Religion Parish Address Press send to submit this form. After receiving your registration, we will be in contact with you. Thank you! Δ