LOVE AND LEGACY INTAKE FORM

By filling out this form, couples can connect with mentorship and practical tools that empower them to navigate challenges, grow in love, and ultimately glorify God in their relationships. Whether you’re seeking wisdom for a healthy dating relationship, preparing for marriage, or strengthening your existing marriage, we’re here to walk alongside you on this journey. Let’s build relationships that reflect God’s love and purpose!

Name

First Name

Last Name

Name of Significant Other

First Name

Last Name

Phone

(###)

###

####

What is your relationship status?

Are you a covenant partner?

Which ministry are you interested in receiving more information about?

Please use the space below to describe the specific needs, goals and outcomes you are looking for:

i.e.- How do you believe Love & Legacy could best serve you?)

LOVE AND LEGACY INTAKE FORM

LOVE AND LEGACY INTAKE FORM LOVE AND LEGACY INTAKE FORM

LOVE AND LEGACY INTAKE FORM