Name *

First Name

Last Name

Partners name *

First Name

Last Name

Phone *

This is the phone number where texts are sent to.

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I understand that the tips and prompts from this service are for educational purposes only. They are not a substitute for professional therapy or counseling, and I agree to seek a licensed professional for serious relationship or emotional issues. I consent to receive text messages from Upliftext For Couples regarding relationship tips and prompts. I understand message frequency may vary and I can opt out at any time by replying STOP. I agree to the Privacy Policy and Terms of Service, and understand my personal data will be used only to send these messages.