Before We Begin

Tell us a little about you so we can create your private MRI participant record.

Contact Information

Required

First Name

Last Name

Email Address

Mobile Phone

Spouse Information

Required

Spouse’s First Name

Spouse’s Last Name

Spouse’s Email Address

Email Communication

Required

I understand that ONE GOD–ONE FLESH™ will use my email address to send information necessary to complete my MRI Assessment, connect my assessment with my spouse, provide appointment information, and communicate about my participation in the Marriage Reconciliation Intensive.

This acknowledgment is required because it relates to delivery of the MRI experience.

Stay Connected With ONE GOD–ONE FLESH™

Optional

Yes, I would like to receive marriage encouragement, resources, program updates, and information from Rev. Terrence & Marlene Trimuel by email. I understand that I can unsubscribe at any time.

This marketing preference is optional.