Marriage Story Intensive Application

Name

First Name

Last Name

Email

Phone

(###)

###

####

Spouse's Name

First Name

Last Name

Spouse's Email

Spouse's Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Preference(s):

April 4-6, 2025

July 11-13, 2025

Sep 26-28, 2025

What about the Marriage Story Intensive interests you?

Describe some of the most significant highlights from your relationship thus far.

Describe some of the most challenging or tragic moments in your marriage.

Do you have children?

Have either of you ever had any official diagnoses for mental/emotional health related concerns?

If so, tell us a bit about that.

Many of our clients participate in a faith community.

Tell us a bit about your faith journeys, if applicable.

What is your hope for this intensive? What change(s) would you like to see occur in your marriage?

How did you hear about the Marriage Story Intensive?

If your application is approved, a non-refundable $500 deposit is required to secure your spot. The remainder is due in full by Feb. 3rd, 2025, for the April 2025 MSI, May 12th, 2025 for the July 2025 MSI or July 25th, 2025 for the Sep 2025 MSI.

Yes

I need to talk with you

Is there anything else you would like us to know?

Scholarship Information

We believe in the importance of this work. A limited number of scholarships are available. If the cost to attend is a potential barrier, please briefly explain your need for a scholarship and the amount requested/needed.

Thank you so much!

We will be in touch with you soon. Have questions?
Contact us here.