Exit Marriage Enrichment Registration Question Title * 1. Name (First Name, Last Name)*couples please register separately* Question Title * 2. Date(s) You Will Be Attending April 05 - 6:30 PM April 12 - 6:30 PM April 19 - 6:30 PM Question Title * 3. Relationship Status (Married, Divorced, Separated, Engaged to be Married) *If married please list how many years you have been married* Question Title * 4. Do you need childcare for the event? Yes No Question Title * 5. If you responded yes to the previous question…Please list the name(s) and age(s) of the children who require childcare Question Title * 6. Please list any topics/questions you wish to discuss during these sessions. Be as detailed as possible Done