EMS Registration

Thank you for trusting us to help you restore your marriage. After registration you will receive more information such as directions and payment options. Please keep in mind that your reservation will not be secure until a deposit has been received. ARC will contact you soon to arrange for payment or you can call the office at 512-346-9299 or 1888-5ARC-EMS to arrange payment.

You will be contacted by our offices within one working day after your registration is submitted. If you are not contacted, please call the office directly at 512-346-9299 or 1888-5ARC-EMS.

If you have any questions please use the contact form

Your registration will not be complete without submitting a deposit of $500. You will be redirected to the payment page after hitting submit

Which seminar weekend would you like to attend?: *

What is the husband's first name?: *

What is the husband's last name?: *

What is the husband's email address?: *

cannot be the same as wife's

What is the wife's first name?: *

what is the wife's last name?: *

What is the wife's email address?: *

cannot be the same as husband's

What is your phone number with area code?: *

Please use this format: 000-000-0000

What is an alternate phone number with area code?: *

Please use this format: 000-000-0000

City: *

State: *

Which spouse has been unfaithful?: *

Which spouse are you? : *

How did you hear about the ARC?: *

If you would like, you can tell the therapists a little of your story.:

Affair Recovery Center

EMS Registration