Marriage Couple Counselling Commitment Covenant

LRCC MINISTRIES
All information provided will be treated with confidentiality.

LIFE RENEWAL CHARISMATIC CHURCH
9572 BOUL GOUIN O, PIERREFONDS, QC H8Y 1R4
PHONE: 1-855-200-0602
EMAIL: INFO@LRCCMINISTRIES.COM
SECTION A: PERSONAL INFORMATION
Residential Address: (If not same as spouse please provide both)
SECTION B: MARITAL INFORMATION


SECTION C: CHURCH AFFILIATION
Are you members of LRCC Ministries?


SECTION D: PRIOR COUNSELLING

SECTION E: CONSENT & DECLARATION
We hereby confirm that the information provided above is true and accurate to the best of our knowledge. We voluntarily request marriage counselling from LRCC Ministries and agree to cooperate fully with the counselling process.