Growing Your Marriage
Application for 2023 Marriage Journey

  • MM slash DD slash YYYY
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  • Please list someone not attending with you in case of emergency.
  • (In person or virtual)
  • I give my consent that the information provided at registration may be communicated to facilitators for the purpose of equipping to provide the best care and assistance possible. I give my consent that photographs, interviews and audio/visual recordings made during the course of the event may be used by Growing Your Marriage for training, promotion, and fundraising. (in person events only - does not pertain to virtual studies and coaching) I release Growing Your Marriage, its directors, leaders and volunteers, from all actions, damages, or personal injuries which may occur to me or a member of my family. I understand that in the event of a minor injury, I, or a member of my family may receive first aid treatment. I will be informed as soon as possible of any injury or condition of one of my family members and will be responsible thereafter for their care. In the event of an emergency, injury, or illness, emergency medical services and I will decide the best course of action. If the leaders are unable to reach me, I authorize them to take whatever action is necessary for the safety and health of my family members. I understand that in order for everyone to experience a sense of calm and peaceful relaxation, Growing Your Marriage events are drug free and tobacco free. Use of cell phones is discouraged. By checking the boxes below you are agreeing on behalf of your family to an electronic signature.