Marriage Conference Registration Form

All couples and singles are invited to join us for the 2-day, Close Call Marriage Conference with Rev. Josh Squires. It will focus on God's call to a close, intimate relationship with Him, your spouse, and others.

Rev. Josh Squires is the Associate Minister of Counseling at First Presbyterian Church in Columbia, South Carolina. His articles have also appeared on Desiring God and The Gospel Coalition.

Dates and Times:
Friday, February 10, 6:30-8:30pm
Saturday, February 11, 9:00am-12:00pm

Location: Smyrna Presbyterian Church

Admission: Free

Childcare: Available for children ages 4 and under

*If you need financial assistance with childcare arrangements for older children, please contact the church office.

Name

This address will receive a confirmation email

Phone

Marital Status

Married Single

Section 2: Spouse Information

If you are married and your spouse is attending, please fill in the information below.

Spouse's Name

Spouse's Email

Spouse's Phone

If you do not need childcare, please go to the end of the form and click Submit. If you require childcare, please continue to the next section.

Section 3: Childcare Information

Please enter the requested information for each individual child that you wish to register. Childcare is available for children ages 4 and under. Space is limited and will be filled on a first-come, first-served basis.

What day(s) will you need childcare? (Check all that apply.) Friday, February 10 Saturday, February 11

Child 1: Name

Child 1: Age

Child 1: Allergies or other information

Child 2: Name

Child 2: Age

Child 2: Allergies or other information

Child 3: Name

Child 3: Age

Child 3: Allergies or other info

Description

Please fill out this form and click submit.

Marriage Conference Registration Form

Description

Please Fix the Following