Registration Form Catholic Engaged Encounter Tacoma, Washington

Bride's Information

Name

(first)

(last)

Street Address:

City, State, Zip

Age:

Home Phone:
(nnn) nnn-nnnn

Work Phone:
(nnn) nnn-nnnn

Ext:

E-mail:

Religion:

Catholic Agnostic Anglican Baha'i Baptist Buddist Christian Fellowship Christian -other Episcopalian Greek Orthodox Islamic Judaism Hindu Lutheran Mormon Presbyterian Scientology Seventh Day Adventist Other

Parish:

Groom's Information

Name

(first)

(last)

Street Address:

City,State. Zip

Age:

Home Phone:
(nnn) nnn-nnnn

Work Phone:
(nnn) nnn-nnnn

Ext:

E-mail:

Religion:

Parish:

Wedding Information

EE Weekend Choices

Wedding Date:

Parish/Church:

City/State:

Priest Officiating:

First Choice	Palisades September 23-25, 2011 Black Lake November 11-13, 2011 Black Lake, March 16-18, 2012 Palisades July 6-8, 2012 Longbranch, September 21-23, 2012 Black Lake November 9-11, 2012
Second Choice	Black Lake November 11-13, 2011 Black Lake, March 16-18, 2012 Palisades July 6-8, 2012 Longbranch, September 21-23, 2012 Black Lake November 9-11, 2012

Special Needs or Additional Information that You Feel may be Helpful:

Send all further correspondence  to:

Send to Bride?   YesNo

Important Reminder: Your spot will not be held until your check or money order is received.  Please include a copy of this page with your registration check. (Use your Print option in your browser now before hitting the submit button below).

After receipt of your check, you will then receive a confirmation of your registration as well as the date of your weekend. If you do not receive this confirmation in 3 weeks please contact us.

Please note: You will be placed on the 1st available weekend if the weekends you selected are full.

MAIL CHECK or MONEY ORDER in the AMOUNT OF $300 TO:
Catholic Engaged Encounter
c/o Lisa & Greg Wellman

6410 N View Ridge Dr Tacoma, WA 98407

REFUND POLICY
You must cancel your weekend at least 2 weeks prior to your weekend in order to receive a refund. $45 is non-refundable.

[Home] [About EE] [Registration] [Community]