UK Registration FormParents For Life Please enable JavaScript in your browser to complete this form.InformationHusband's Name *FirstLastWife's Name *FirstLastAddress *Address Line 1Address Line 2CityCountyPostal CodeCountry *United KingdomPhone *Email *Wedding DateHusband's Age Range *18-2526-3940-5960+Wife's Age Range *18-2526-3940-5960+Have you been married before? (Husband) *YesNoHave you been married before? (Wife) *YesNoHow many children do you have? What is their age range?Your Church Name and address, your Pastor *Preferred Time (tick all that apply) *Monday eveningThursday eveningSaturday eveningTuesday eveningFriday eveningSunday daytimeWednesday eveningSaturday daytimeSunday eveningHow you want to attend the course? *In PersonOnlineEitherHow you want to receive your manual? *Paper (+ £15)Online - ElectronicCourse Language *Please choose a languageEnglishSpanishPortugueseLeaders - English *Please choose a leadership coupleCarlton and Mavis JonesClive and Beverley JosephGerry and Maria Hornsby - OdoiKaiser and Louise AbrahamsMike and Lyn ThomasSam and Jenny JayakrishnaRowland and Folake HenshawWil and Trish RobinsonArmando and JessicaLeaders - Spanish *Please choose a leadership coupleArmando and Jessica MirandaJesus and Luz Mery OtalvoraLuis Alberto and Ines VelascoLeaders Portuguese *Choose a leadership coupleGustavo and Ana CunhaDiego and Camila Da SilvaYour Personal Details (please choose) *Yes - 2=1 may keep these contact details so we can be contacted by email (or other methods) with updates and invites to future courses/conferences and other events. Any prayer points and our attendance record will also be kept for the duration of the course only. We understand that 2=1 will not share our details with anyone else.No - 2=1 may not keep these contact details after our potential course is finished.How did you find out about this course?CommentsPaymentCOURSE Prices (per couple) Standard Price Concession Price* £50 online £30 online £65 paper manual £45 paper manual Payment optionsChoose an optionSTANDARD PRICE - Online manualSTANDARD PRICE - Paper manualCONCESSION PRICE - OnlineCONCESSION PRICE - Paper manual*Concessions include: Those who are in full time Christian work Those who are full time students Those who are retired Those who are on benefits Those who have already taken any one of our courses. Payment Method *Choose onePayPal / Credit Card / Debit CardBank Transfer2equal1 bank account2equal1 (UK), account 62677369, sort code 40-24-17Name of your account *Payment Date *Total£0.00AgreementBy clicking REGISTER we understand that you will pay the fees as shown in the next page. If we desire to cancel your registration, we must request a refund in writing no later that one (1) week prior to the start of our assigned group. PhoneRegister
