North Peace MB Church DivorceCare/DivorceCare For Kids Sign Up
First Name
*
Last Name
*
E-mail
Address
City/Town
Postal Code
How did you hear about the course? (ex. friend, newspaper, etc..
Approximate Age:
*
18 - 24
25 - 32
33 - 45
46 - 59
60 +
Phone:
*
Cell:
DivorceCare for Kids will be running at the same time as DivorceCare. If you would like to have your child/children attend while you are attending DivorceCare, please fill in the information below.
How many children will be attending?
Please specify your child/children's age.
