Retreat Weekend Registration

Retreat Weekend Registration Form - November 3-5, 2023**
Attend in-person or participate virtually. Couples must be married to register.

* 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? *

Two worship services using Protestant liturgy are provided on the Weekend. What church do you attend, if any? *

Choose how you will participate in this Marriage Encounter experience
Couples have a choice to either stay in a double room at the Providence Renewal Centre with a private bathroom/shower or to return home each evening after attending all the sessions, or to attend virtually via Zoom.

Indicate how you will participate *

In-person, we will sleep at the Providence Centre In-person, we will return home each evening Virtually via Zoom

After you submit this form you will be taken to our payment page.
The registration fee is $100.00 ($80.00 if you register by Saturday, September 30th, 2023). Your registration fee will be refunded if you cancel by October 7th, 2023.

Indicate your payment method *

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

Registration deadline is Monday, October 23rd, 2023

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.

** Registrations are accepted or rejected at the sole discretion of Edmonton Anglican Marriage Encounter.

For more information please contact Heather & Garry Tansem (780) 974-8087 / marriageencounter.ea@gmail.com

Retreat Weekend Registration Form** - November 3-5, 2023Attend in-person or participate virtually. Couples must be married to register.

Retreat Weekend Registration Form - November 3-5, 2023**
Attend in-person or participate virtually. Couples must be married to register.