Create an Account or Sign in Email Password Username This defaults as the email you entered when purchasing the course. However, your Username will also serve as your @handle for couples to communicate directly with you or mention you in a discussion. You might want to change it to something like FredandWilma or FredLovesWilma or WeBrakeWithOurFeet (Don't use spaces here.) Registration type (optional) ----IndividualCoupleGroup CoupleMentor CoupleChurch/Organization Your Name Couple Name This is your names as shown on your Member Card in the community. Use something like "Luke and Ann" here. His First Name His Last Name His Email address His Mailing Address (optional) His City: What city/town do you live in now? (optional) It's always good to put in where you're from in case there are other couples in your area to connect with, who are also going through Prepare to Last! His State/Province (optional) His Zip/Mailing Code (optional) His Birth Date (optional) Day ----12345678910111213141516171819202122232425262728293031 Month ----JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year ----20292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929 Her First Name Her Last Name Her Email address Her Mailing Address (optional) Her City (What city/town do you live in now?) (optional) It's always good to put in where you're from in case there are other couples in your area to connect with, who are also going through Prepare to Last! Her State/Province (optional) Her Zip/Mailing Code (optional) Her Birth Date (optional) Day ----12345678910111213141516171819202122232425262728293031 Month ----JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year ----20292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929 In what city is the church/organization located? (optional) Are You Seriously-Dating, Engaged or Married? ----Seriously-DatingEngagedMarried Wedding Date (optional) Day ----12345678910111213141516171819202122232425262728293031 Month ----JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year ----20292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959 Bio (optional) Visual Text
