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Marriage Care

Our marriage care team are not licensed counselors. They are trained couples in the church caring for other couples in the church and are looking forward to meeting you.

Your name *

Last name

Email address *

Address *

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone Number

Phone type

Preferred Contact Method

Please let us know your preferred method of contact.

Email

Text

Phone

Do you attend Reach regularly? *

Yes

No

Are you in a Group? *

Yes

No

If you are in a group, who is your group leader?

Are you in a DNA? *

Yes

No

Spouse Information

Name *

Email *

Phone

Is your spouse in a DNA? *

Yes

No

Explain the problem (what is reason you are requesting help)? *

What have you done about the problem? *

What are your expectations from counseling? *

Provide any other information you believe is pertinent.

Is your spouse willing to participate in counseling? *

Yes

No

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Reach Church
info@reachchurch.cc
4012270714

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