Pastoral Partnership Program

First Name

Email Address

Last Name

Phone

Street Address

Church Name

City

Region/State/Province

Postal / Zip code

I am interested in the following Pastoral Partnership Program

Option #1 - Preferred Partner with an annual fee of $125

Option #2 - Prepaid Sessions with a discounted rate of $100 per session

Initials

Today's Date

By selecting this box, I agree to the terms and conditions of Preserving the Christian Family and the Pastoal Partnership Program. I understand that work done between the client and Preserving the Christian Family is confidential and will not be shared with any third party without expressed, written consent of the client.View terms of use

Thank you for submitting your application! We will be in touch shortly.