Registration
Weekend *
  His Her
First Name *
Last Name *
Address *
City *
State *
Zip *
Home Phone (Format must include digits only)
Work/Cell Phone (Format must include digits only)
Email *
Parish (Please type "not affiliated" if you are not associated
with a parish) *
Age *
Religion (Please type "not affiliated" if you have no religious affiliation) *
Send Return Information to: Him   Her  
Wedding Date (Please use format mm/dd/yyyy) 
Church Where Being Married 
Have either one of you been married before? Neither   Him   Her   Both
If civilly married, indicate wedding date (Please use format mm/dd/yyyy) 
Priest or deacon who will officiate your wedding (first + last name) 
Will you be willing to assist with music for the weekend? Yes   No  
Special Needs None   Diet  
Handicap   Medical
Notes: Please explain any special needs or musical skills

I have read, fully understand and accept Catholic Engaged Encounter's terms and conditions *

Click here to read the terms and conditions
 


* Indicates a required field