Registration FormParents For Life START DATE: XX/XX/2021TIME: XX:00 PMLOCATION: XXXXXLeaders: XXXXXXXX Please enable JavaScript in your browser to complete this form. - Step 1 of 4InformationHusband's Name *FirstLastWife's Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodePhone *Phone - AlternativeHusband's Email *Wife's Email *NextHusband's Age Range18-2526-3940-5960+Wife's Age Range18-2526-3940-5960+Have you been married before? (Husband) *YesNoHave you been married before? (Wife) *YesNoHow many children do you have? What is their age range?Your Church and address, Your Pastor's namePreviousNextHave you both attended a 2=1 Introduction Meeting or watched the 2=1 Introduction Video? *MeetingVideoClick Here to Watch the VideoYour Personal Details (please choose) *Yes - 2=1 may keep these contact details so we can be contacted by email (or other methods) with updates and invites to future courses/conferences and other events. Any prayer points and our attendance record will also be kept for the duration of the course only. We understand that 2=1 will not share our details with anyone else.No - 2=1 may not keep these contact details after our potential course is finished.How did you find out about this course?CommentsPreviousNextPaymentAll courses include online manual access to both your email addresses. If you would like a hard copy too, a paper manual will cost an additional €15. If you choose a paper manual, you will still have access to online copies. COURSE Prices (per couple) Standard Price Concession Price* €50 course with online manuals only €30 course with online manuals only €65 course with paper and online manuals €45 course with paper and online manuals PaymentChoose an optionSTANDARD PRICE – course including online manuals onlySTANDARD PRICE – course including paper and online manualsCONCESSION PRICE – course including online manuals onlyCONCESSION PRICE – course including paper and online manuals*Concessions include: Those who are in full time Christian work Those who are full time students Those who are on benefits Those who have already taken any one of our courses Those who have attended one of our weekend events Total0,00 €Payment Card *CardName on CardAgreementBy clicking REGISTER we agree to the terms and conditions listed on the 'forthcoming courses' form. Shortly before the course starts the online manual will be released to your email address(s) via a password and a paper copy of the manual will be provided if it has been purchased.Checkboxes *I agree to the Terms and ConditionsMessageRegister
