Registration for 2010

Marriage Renewal Weekend

 

February 26, 27 & 28

 

Brochure

 

Please fill out the form below to register. Items marked with an * indicate a required field. 

Name*
Address:*
Phone:*
Email:

Couple Registration Donation ($25.00)

I would like to make an additional donation

Amount donated:$

Special Dietary/Allergy Needs? Please Explain

 

 

 

We will need childcare - please note names and ages below:

 

Method of Payment

Please bill my credit card

Visa    Master Card     Other 

Credit card number: Expiration Date:

Please call me for my credit card information

I will mail in or drop off a check to the parish office

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