FWB United Methodist Church

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Friday October 27 6PM-9PM, Saturday October 28 9AM-3:30PM, Sunday November 19 12:30PM-3:30PM
10/27-11/19 3 Sessions

FWB United Methodist Church
103 First St SE, Fort Walton Beach, FL 32548

English Childcare: Free* 17 Miles Away

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SPOUSE 1 First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
Email Address
Street Address
City
State
Zip
Gender

SPOUSE 2 First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
Email Address

Mailing Address same as SPOUSE 1

Street Address
City
State
Zip

Gender

Childcare Do you need childcare?

Yes No

# of Children?

PREVIOUS MARRIAGE ENRICHMENT EXPERIENCES Select any programs that you and your spouse have participated in within the last 12 months:

Art of Marriage Laugh Your Way to a Better Marriage Adventures in Marriage None of the Above

Participating Programs Select Programs You Participate in:

None WIC TANF Unemployment "Step Up" School Lunches

Who is filling out this form ?

SPOUSE 1

SPOUSE 2

I have read and agree with the terms described in the document.

Bring proof of participation in at least one of those programs and payment for the child care with them to the first class session.

Best Marriage Ever is a listing of marriage classes available in the state of Florida - brought to you by Live the Life.

Funding for this project was provided by the United States Department of Health and Human Services, Administration for Children and Families, Grant: #90ZB0021. These services are available to all eligible persons, regardless of race, gender, age, disability, or religion.

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