Interest Form Entry

Premarital or Marriage Enrichment

Premarital Marriage Enrichment

Personal Information

First Name

Last Name

Best e-mail address

Best Phone Number

Birthdate

/ /

Gender

Address

How many

have you been together?

I regularly attend Vox Church.

Significant Other's Information

First Name

Last Name

Best e-mail address

Best Phone Number

Address

Birthdate

/ /

Gender

Significant other attends Vox Church regularly.

Marital Health Questions

Are you both fully committed to making it work? Please explain.

What are the issues that led you to decide to seek out marriage enrichment?

Are there any steps you've taken to address these issues or conflicts? For example: marriage counseling, marriage enrichment conference or seminar, etc.

Any additional information that either of you think would be helpful.

Submit