Marriage Adventure Registration
You are registering for the June 10-12, 2022 Marriage Adventure in Kansas City, MO.
Please answer all questions and submit. We will be in touch soon with more details.
Sign in to Google to save your progress. Learn more
Email *
Name of Couple *
Street Address *
City *
State *
Zipcode *
Phone Contact *
# Years Married *
Please share one thing you and your spouse hope to gain from attending The Marriage Adventure Workshop. *
How did you hear about our workshop?
Are you in need of financial assistance? The $75 deposit towards your registration will be due within 30 days of this registration. The remaining balance can be paid when you check-in on Friday of the workshop. *
We would like to arrive for early check-in on Thursday prior to the conference. We understand that there is an additonal room rental fee of $129.00 (conference room rate). *
Please mark t-shirt size for HUSBAND *
Required
Please mark t-shirt size for WIFE *
Do you have any food allergies that we need to be aware of? IF you answer yes, please specify your need in the next question. Check ALL that apply. *
Required
Workshop Registration Deposit*                                                    Mark all that apply. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms