Get in Touch

First Name

Last Name

Spouse's Name

Ages

Phone

Email

Are you currently living together? *

Yes

No

Years Married

Children Living at Home?

Yes

No

If so, how many and ages?

What service(s) are you interested in? * Required

Premarital Counseling

Wedding Officiant

Marriage/Relationship Coaching

Add SYMBIS Assessment

1 Hour Crisis Mediation

Full Day Mediation

Marital Concerns

How does God/faith play a role in your marriage?

Are either of you currently taking any medication? If so, please list the medication and reasons for taking them.

Thanks for submitting!

Contact Miracle of Marriage Ministry

Miracle of Marriage is a faith-based marriage ministry and is not a licensed counseling service.

Dallas/Ft. Worth Metroplex, TX

Stay Connected

First name

Email address

Thank You for Subscribing!

bottom of page