Stanton Memorial Baptist Church

Friday 6:30pm -9:30pm, Saturday 9:00am-3:30 pm and Sunday 6:00pm -9:00pm
Friday 06/10, Saturday 06/11, Sunday 07/24 (3 Sessions)

Stanton Memorial Baptist Church
50 NE 119th St, North Miami, FL 33161

English Childcare: Free of Charge* 17 Miles Away

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Register

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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