PREPARED Couples Enrollment

Submitting your application for the

You can download your form here fill in all the required information and email it back to or simply scroll down the page and fill in our online application.

Once we receive your application our program staff will review it and get back to you regarding acceptance and further details on the program.


Adult enrollment form to capture personal data
  • MM slash DD slash YYYY
    What race you identify as.
  • Disregard if you are signing up as a Single
  • MM slash DD slash YYYY
    What race you identify as.
  • How many children you have, if none select 0.
  • MM slash DD slash YYYY
    Disregard if you are signing up as a Single
  • How many children you have, if none select 0.
  • Incomes under $60,000 receive free services.
    Please select all that apply.
  • Add name of organization who referred you.
  • This field is for validation purposes and should be left unchanged.

The Program will focus on relationship enhancement for couples and singles. PREPARED COUPLES/SINGLES PROGRAM will provide a host of activities that will strengthen, enlighten and provide fun engagement for all participants. It includes 7 date nights free of charge to couples or singles who commit to completing the full project offerings. All date nights also include complimentary food and beverage. Date nights occur on Friday evenings and provide immersive marriage and relationship education.

You will receive services supported by federal funds, and, as such, the program will not teach or promote religion. Marriage Education will be the messages taught in the program. If you have any questions about our program or organization, you can contact Myra Brown, Program Director, at (305) 232-6003

SURVEY QUESTIONAIRES: As part of the evaluation of this program, you may be asked to complete a survey up to three times: at the beginning of our program year, at the end of our program year to measure changes in knowledge, attitudes , and behavior related to marriage and if possible up to 120 days later.

Answers to the survey are strictly confidential! Your name will NOT be on the survey. The answers provided will be combined with answers from all other participating couples. You will never be identified by name in any evaluation reports.

Your participation in completing the survey questionnaire is mandatory. Your commitment will help us to learn more about behavior and attitudes, and to develop effective marriage programs.

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Recapturing the Vision

11205 South Dixie Hwy

Suite 201

Miami FL 33156

Phone: 305.232.6003

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