In order to receive a certificate of completion, all couples are required to attend sessions 1, 2, and 3. Those with minor/dependent children from a previous relationship are also required to attend session 4 on Blended Families. Please complete the entire form and submit with payment prior to the deadline. Four Sessions are $145.00 per couple. Three Sessions are $120.00 per couple. A $20 late fee applies to the applications received after the deadline.

  • Wife's Information

  • Husband's Information

  • General Information

  • MM slash DD slash YYYY
  • City/Country
  • Sessions

    Please select a date for each applicable session.