S.O.R - September 28, 2015

"S.O.R" Strengthening Our Relationship Registration
Partner 1 Information
Partner 1*

First NameLast Name
Sex*

MaleFemale
Gender Identity
Preferred Gender Pronoun*
Age Range

18-2324-2930-3536-4041+
Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Partner 2 Information
Partner 2 *

First NameLast Name
Sex*

MaleFemale
Gender Identity
Preferred Gender Pronoun*
Age Range

18-2324-2930-3536-4041+
Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Preliminary Questions
How Long Have You and Your Partner Intimately Known Each (total years)?*
Current Relationship Status*
Do You And Your Partner Live Together?
Are You Currently in an Open/Polyamorous Relationship *
Are there any accommodations you will need? (i.e.: wheelchair access, sign-language interpreter)
How did you hear about "S.O.R" ?*
If another source, please tell us!
What area(s) of growth do you want to focus on in "S.O.R"?*
Thank you! We look forward to seeing you Monday, September 28, 2015!

Location: 1325 Quincy St NE, Washington, DC 20017

7:45pm - 9:30pm
Achieving Joy productand services are not to be considered a substitute for professiona, medical, or psychological diagnosis and/or treatment. Participating in all Achieving Joy's program is considered voluntary and should not replace, supersede or conflict with treatment and/or advice of a health professional.
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"S.O.R" Strengthening Our Relationship Registration

Partner 1 Information

Partner 2 Information

Preliminary Questions