Registration Form
                        for
Engaged Encounter Weekend

 

Bride's Name   
Bride's E-mail  
Address         
City/State/Zip
Phone             
Date of Birth  
Religion         

Groom's Name   
Groom's E-mail  
Address         
City/State/Zip
Phone           
Date of Birth  
Religion         

Priest assisting your marriage preparation  
Parish   Address  
City   State   Zip Code
Wedding Date       
Address after marriage: 
City/state/zip:


Registration Preferences
You are advised to register as soon as your priest directs you to Pre Cana or Engaged Encounter, and to choose a session scheduled at least five months before your anticipated wedding date.
First Choice: Engaged Encounter Date  
                                          
Second Choice: Engaged Encounter date  
                                    
                                                                                   
We will make every effort to adjust for special needs.  Please tell us if you need accommodations for:
Wheel Chair
Other Language
     		Visual Difficulties
Other Circumstances
     		Sign Language

 

We must receive your registration fee, before we can process your registration.

Registration fee

$225
Amount being mailed (Minimum $75) $
Engaged Encounter Balance due $

 


Make your check payable to the
Diocese of Scranton
and mail it to:
Marriage Preparation
Office for Parish Life
300 Wyoming Avenue
Scranton, PA  18503

We suggest you make a copy of this registration form for your own records.

Once you click on "Submit",  you'll see a confirmation form.  
Please provide the requested contact information and mail a copy of this form back with your payment.

Registration confirmed after check is received.