Retrouvaille Ireland

A Lifeline for Marriages

Couple arm in arm, walking in a park Couple facing away from each other, estranged Happy couple smiling at each other Sad couple Couple holding hands Older couple laughing and happy together Couple struggling to re-establish their relationship Happy young sporty couple
Young couple with serene expression

Application Process:


Register your interest in the next Retrouvaille programme

Please fill in the Registration of Interest Form below and click the submit button.

In the form below we need at least your names, email addresses and a contact telephone number for each of you.

Once the Registration of Interest Form is submitted, a registration couple will be in contact and talk you through the programme and the registration process.

Note: We respect your privacy and we will only use your details for the Retrouvaille programme. We will never pass your details to any third party nor use the information for any other purpose.

Wife's Details

* Denotes that this information is required


Wife's full name*:

Address:

 

 

 

Email*:

Telephone*:

(Mobile or landline - at least one)

Religion:

Are you seeing a counsellor?

           

Have you been married before?

           

Husband's Details

Husband's full name*:

Address:

 

 

 

Email*:

Telephone*:

(Mobile or landline - at least one)

Religion:

Are you seeing a counsellor?

           

Have you been married before?

           

Please note that this is not a booking form, nor a confirmation of a booking.