Registration I'd like to attend Coping with Life Alone -- In the Beginning I'd like to attend a Beginning Experience Weekend. Name(required) Address(required) Phone(required) Email(required) Male Female Date of birth: Widowed Divorced Separated How long married? How long single again? If you have children, their age(s): Religious Preference: Parish/Church/Other: How did you find out about our program? What do you hope to gain from the program? Physical or dietary limitations? Are you currently in counseling? (Yes/No) Submit Δ Share this:TwitterFacebookLike this:Like Loading...