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August 19 Friday (6:30PM - 9:30PM), August 20 Saturday (9AM-4PM), September 10th Saturday (9 AM-12 PM) 2022
August 19 and 20, and September 10th (3 Sessions)

Salem Centre (Salem Room)
7235 Bonneval Rd. Jacksonville, FL. 32256

English Childcare not available

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SPOUSE 1 First Name
Last Name

Date of Birth

Cell Phone #Format: 5554567890
Email Address
Street Address
City
State
Zip
Gender

SPOUSE 2 First Name
Last Name

Date of Birth

Cell Phone #Format: 5554567890
Email Address

Mailing Address same as SPOUSE 1

Gender

Who is filling out this form ?

SPOUSE 1

SPOUSE 2

By submitting this form, you agree to receive a one-time text message confirming your marriage class registration (message and data rates may apply). You will also receive an email with a survey link to complete before attending the class.