marriage revival registration

Couple's Name

Ex: Joel & Alisha Jones

Mobile Contact #

(###)

###

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PLEASE COMPLETE THIS SECTION IF YOU ARE PLANNING TO USE ON-SITE CHILDCARE.

Childcare will be provided for ages 6 mo. - 10yrs.

Please list the name(s) and age(s) of each child you are planning to check in.

Allergies

Snacks will be provided. Please let us know of any allergies we should be aware of.