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Fri, Dec. 16 (6:30-9:30pm); Sat, Dec. 17 (9am-4pm); Fri, Jan. 6 (6:30-9:30pm)
3 Sessions

Salem Centre (Salem Room)
7235 Bentley 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.