C.O.R.D. Registration Form Couples On the Road to Devotion - 10-Month Marriage Course St. Luke Coptic Orthodox Church Step 1 of 2 50% Husband's Full Name(Required)Wife's Full Name(Required)Email Address(Required) Mobile Phone(Required)Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Children Needing Childcare(Required)0 children1 child2 children3 children4+ childrenChild Name & Age Add RemoveDietary Restrictions / Food AllergiesHow did you hear about C.O.R.D.?Church announcementFriend referralSocial mediaWebsiteOther Registration Fee(Required) Standard Registration - $300 per family Total Amount Special Code? Credit Card(Required) Questions or Comments Δ
