Registration Form for Pre-Cana Conference

 

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

Groom's Name           
Address         
City/State/Zip
Phone           
Date of Birth  
Groom's E-mail          
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 six months before your anticipated wedding date.
First Choice:    Pre-Cana Conference Date         
                                
Second Choice:    Pre-Cana Conference 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

 

Registration fee must be sent to us, before we can process your registration.

 
Registration fee $100
Amount being mailed $

 


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.