Registration

Online Registration Form - November 1-3, 2019

(A paper registration form is here.)

* Indicates required field

His name (preferred first name and last) *

First

Last

Her name (preferred first name and last) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Today's date (yyyy/mm/dd) *

Email *

2nd Email (if you each have your own) *

Phone number (xxx-xxx-xxxx) *

Date of marriage (yyyy/mm/dd) *

How did you hear about Marriage Encounter? *

What church do you attend, if any? *

After you submit this form you will be taken to our payment page.
The registration deposit is $90.00 ($70.00 if you register by Wednesday, October 9th, 2019). Your registration deposit is refundable if you cancel by October 2nd, 2019.

Indicate your payment method *

Option 1 - Credit Card Option 2 - Interac e-Transfer Option 3 - Cheque

Registration deadline - Friday, October 18, 2019

Submit

* If you click the submit button and are not taken to our payment page, then the above form is incomplete. Please complete the fields that will be highlighted and click the submit button again.

For more information please contact Tom and Marie Kennedy (780) 459-9580 / marriageencounter.ea@gmail.com

Online registration

Online Registration Form - November 1-3, 2019