Weekend First Choice

Black Lake March 18-20, 2011 Palisades July15-17, 2011 Palisades September 23-25, 2011 Black Lake November 11-13, 2011

Weekend Second Choice

Black Lake, March 18-20, 2011 Palisades July 15-17, 2011 Palisades September 23-25, 2010 Black Lake November 11-13, 2011

Groom's Info: First Marriage: Yes No Age: Religion: Agnostic Anglican Baha'i Baptist Buddist Catholic Christian Fellowship Christian -other Episcopalian Greek Orthodox Islamic Judaism Hindu Lutheran Mormon Presbyterian Scientology Seventh Day Adventist Other

Name: First: Middle: Last: Parish:

Address: Street: City:

State/Province: Country: Zip Code:

Phone: Phone(2): E-Mail:

Bride's Info: First Marriage: Yes No Age: 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

Name: First: Middle: Last: Parish:

Address: Street: City:

State/Province: Country: Zip Code:

Phone: Phone(2): E-Mail:

Wedding Date:

Month: January February March April May June July August September October November December Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2013 2012 2011

Parish: Parish City/State:

Priest Officiating: Referred To EE By:

Additional Information that May be Helpful: (food allergies, etc...)

All correspondence sent to Bride? Yes No

PRINT AND MAIL FORM W/PAYMENT (CHECK or MONEY ORDER)

OF $275 (2010-2011 weekends) TO:
Catholic Engaged Encounter
Lisa and Greg Wellman
6410 N View Ridge Dr

Tacoma, WA 98407