Healthy Marriages Grand Rapids

Thank you for your interest in the Secrets for Successful Marriage workshop offered September 2006-June 2007. You may either pay online or fax your registration to us at 616.455.5360 and send us a check. We will send you a confirmation to confirm your attendance. Contact the Pine Rest Family Institute with any questions you may have at 616.455.5279, or email healthymarriagesgr@pinerest.org.

Dates Offered: * September 20,27, 2008

Bride's Name: *

Bride's Address:

Bride's Phone:

Groom's Name: *

Groom's Address:

Groom's Phone:

Do either of you have children?: *

Yes

No

Have you been living together?: *

Yes

No

If yes, for how long?:

Email: *