Information For:

Request for Self-taught Mentor Certification

Having successfuly completed the Living in Love mentor training Course using the DVD program of self instruction, we request to be certified as Mentors for the Pastoral and Matrimonial Renewal Center.

By submitting this form, we confirm that we meet the criteria for certification, specifically:

We have completed all 8 Sessions of Living in Love Every Day
We are both Catholic
We are in a valid catholic Marriage
We embrace all the teachings of the Catholic Church

Mentor Contact Information
Husband's Name
First Last
Husband's Birth Date
Date Format: MM slash DD slash YYYY
Wife's Name
First Last
Wife's Birth Date
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Wedding Date
Date Format: MM slash DD slash YYYY
Number of Children

Request for Self-taught Mentor Certification

Request for Self-taught Mentor Certification

Mentor Contact Information

Making John Paul II's Theology of the body real in our lives through liberating insights, practical skills, authentic witness, and common sense strategies for living in love for a lifetime.

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