Columbus Engaged Encounter
Registration

This pre-registration form will help you reserve space in the weekend of your choice. We will contact you by mail and tentatively hold your place on the weekend for fourteen days to allow time for you to send in your required deposit, which will confirm your registration.

We plan to attend the weekend scheduled for


Choose one of the following options:
Send confirmation to HER
Send confirmation to HIM

Her Information: His Information:
First Name
Middle Initial
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Home Phone
E-mail
Parish, Church, or Faith
Age
First Marriage


If you have any special requests regarding meals or accommodations, please detail your requests below.
(e.g. food allergies, dietary restrictions, health concerns, etc.)



We are getting married on:
-- mm/dd/yy

The celebrant is:
First Name
Last Name
Title
Church
City
State


How would you like to pay for your weekend?
I'll pay right now by secure Credit Card transaction
I'll send a check