Please complete the entire form and submit with payment prior to the deadline. $40 per couple per session. A $25 late fee applies to the applications received after the deadline. Wife's InformationName as it appears on your driver's license* First Middle Last Suffix Name you would like on your name tag* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Suffix Age* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Enter Email Confirm Email Religion* Parish/Church you attend* Parish/Church you attend* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you been married?* Husband's InformationName as it appears on your driver's license* First Middle Last Suffix Name as you would like on your name tag* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Suffix Age* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Enter Email Confirm Email Religion* Parish/Church you attend* Parish/Church you attend* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State How long have you been married?* General InformationPriest or Deacon assisting with your Marriage Preparation* PrefixRev.Very Rev.Msgr.Deacon Prefix First Last Suffix At which Parish?* At which Parish?* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State What Church will the wedding take place?* What Church will the wedding take place?* City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Priest or Deacon officiating at your wedding* PrefixRev.Very Rev.Msgr.Deacon Prefix First Last Suffix Wedding Date* MM slash DD slash YYYY SessionsPlease select a date for each applicable session.Session 1 - Family of Origins January 22, 2021 (Deadline 12/27/21) June 11, 2021 (Deadline 5/23/22) September 10, 2021 (Deadline 8/22/22) Session 2 - Communications February 12, 2021 (Deadline 1/24/22) June 25, 2021 (Deadline 6/6/22) September 24, 2021 (Deadline 9/5/22) Session 3 - The Many Moods of Marriage February 26, 2021 (Deadline 2/7/22) July 9, 2021 (Deadline 6/20/22) October 22, 2021 (Deadline 10/3/22) Session 4 - Blended Families March 5, 2021 (Deadline 2/14/22) July 23, 2021 (Deadline 7/1/22) November 19, 2021 (Deadline 10/31/22) Consent* I acknowledge and consent to the terms listed below.Please know that this is only the application process which isn’t considered complete until payment is received. Space is subject to availability. Upon processing your application and payment, a confirmation letter will be sent as an email attachment. This will acknowledge the date for which you are registered, provide details not included in the brochure, and outline the cancellation/postponement procedures and penalties that go into effect at that time.