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USA Home
Our Resources
Our Courses
Online Onsite
FAQs
Register for a Course or Seminar
Become a Coaching Couple
Learn More
Our Biggest Challenge
Videos
Leadership Login
Coaching Couples
Team Leaders
Coaches in Training Application
Please enable JavaScript in your browser to complete this form.
–
Step
1
of 2
Today's Date
*
Husband's First Name
*
Wife's First Name
*
Last Name
*
Husband's Age Range
*
19-34
35-54
55+
Wife's Age Range
*
19-34
35-54
55+
Wedding Date
*
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Husband Number of Times Married
*
Wife Number of Times Married
*
Contact Phone
*
Contact Email
*
We do not sell or give away information we collect from registrations. We do use emails to send out announcements, upcoming events and newsletters. Please indicate if you give us permission to use your email.
Please Indicate Your Choice:
*
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. We understand that 2=1 will not share our details with anyone else.
No – 2=1 may not use these contact details to contact us with updates or other information. We understand that 2=1 will not share our details with anyone else.
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please describe your marriage including strengths and weaknesses.
*
Next
Spiritual Life
Husband, have you received Jesus as your Lord and Savior?
*
Yes
No
When
Briefly share your experience.
Wife, have you received Jesus as your Lord and Savior?
*
Yes
No
When?
Briefly share your experience.
Husband, have you been baptized in the Holy Spirit?
*
Yes
No
When?
Briefly share your experience
What gifts have you received because of this?
Wife, have you been baptized in the Holy Spirit?
*
Yes
No
When?
Briefly share your experience
What gifts have you received because of this?
Church
Do you attend a church?
*
Yes
No
Name of church
Name. of Pastor
Commitment
Today’s families face many challenges and at 2=1 we are training skilled coaches to help marriages and families succeed. Because we believe you could be one of those coaches, we are willing to invest into your lives and marriage. We ask that you take this commitment seriously. Upon completion of training and certification, we expect you to work with us as 2=1 coaches for at least one year. Are you willing to do this?
Please indicate your choice:
*
Yes.
We would like to know more.
Email
Submit