Resurrection Catholic Church

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Friday evenings 6:00 pm to 9:00 pm
January 7, 2022 to January 28, 2022

Resurrection Catholic Church
3383 University Blvd N, Jacksonville, FL 32277

English Childcare: $20/child for all classes* 17 Miles Away

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Husband First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
Email Address
Street Address
City
State
Zip
Gender

Wife First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
Email Address

Mailing Address same as Husband

Street Address
City
State
Zip

Gender

Childcare Do you need childcare?

Yes No

# of Children?

Participating Programs Select Programs You Participate in:

None WIC TANF Unemployment "Step Up" School Lunches

Who is filling out this form ?

Husband

Wife

Bring proof of participation in at least one of those programs and payment for the child care with them to the first class session.

AIM Classes is a full listing of Adventures In Marriage classes available in the state of Florida - brought to you by Live the Life.

Funding for this project was provided by the United States Department of Health and Human Services, Administration for Children and Families, Grant: #90ZB0021. These services are available to all eligible persons, regardless of race, gender, age, disability, or religion.

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