Divorce Care Registration
 

 

 

 

   

 

     

 

 

Our next 16 week course begins on Thursday, March 6th from 6:30 - 8:30 p.m.

Course Location: Club House - LaBonne Vie, 45 Country Club Drive, Coram

Cost for the 16 week program is $30.00.

We will contact you once we receive your email.

Please provide the following  information:

Register For     March Program             October Program
First Name
Last Name
Address        Town     Zip Code
Home Phone
E-mail
Home Church
Presently Married for    Years                   Seeking Reconciliation: Yes     No
  Separated for Years
  Divorced  for Years
   
  How did you hear about Divorce Care:   
   
Comment

 

 

 

 
  Last Revised: Tuesday, April 08, 2008
 
 

Patchogue Church of the Nazarene (631) 654-3795 Fax: (631) 654-4950