re|engage Fall 2026 Registration

First and Last Names

Anniversary

His Birthday

Her Birthday

Address

His Email

This address will receive a confirmation email

Her Email

This address will receive a confirmation email

Do you need childcare? (Through 5th grade)

Yes No

If Childcare needed, names and date of birth for each child:

The church we most regularly attend:

Husband, rate your marriage on a scale of 1-10 (10 being high)

Wife, rate your marriage on a scale of 1-10 (10 being high)

I heard about re|engage from:

Please check all that apply: Separated Divorced Blended Family

Questions or Comments:

Description

August 16 and 23, 5:30 p.m.

To sign up for a preview for re|engage, please fill out this form and submit. This will also act as your registration form should you choose to commit following our second preview night on August 23.

re|engage Fall 2026 Registration

Description

Please Fix the Following