Retreat Weekend Registration

Retreat Weekend Registration Form - November 5-7, 2021**
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 where you will be staying
Because of our COVID protocols, this year 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 or to your hotel each evening after attending all the sessions.

Choose one *

Residential - We will stay at the Providence Centre Non-residential - We will return home each evening

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 Wednesday, October 13th, 2021). Your registration fee will be refunded if you cancel by October 6th, 2021 or if the Weekend needs to be cancelled due to COVID health restrictions.

Indicate your payment method *

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

Registration deadline is Friday, October 22nd, 2021

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 Jay Thygesen & Bruce Ramage (780) 484-2482 / marriageencounter.ea@gmail.com

retreat weekend registration

Retreat Weekend Registration Form** - November 5-7, 2021Couples must be married to register.

Retreat Weekend Registration Form - November 5-7, 2021**
Couples must be married to register.