Marriage Registration Form

Marriage Preparation and FOCCUS Online

On-line Registration and Order Form

You will only be considered “registered” upon receipt of payment.

Registration is first-come, first-served. Due to course popularity and demand, dates cannot be placed on hold. To secure your selection, you must make payment at the time of your online registration.

Marriage Information

Place of Marriage

Name of Priest/Deacon Presiding at Wedding

Month Date Year First or Second Marriage

Bride

First Name Last Name

Age Religion

Address

Town State Zipcode

Daytime Phone Evening Phone

Groom

First Name Last Name

Age Religion

Address

Town State Zipcode

Daytime Phone Evening Phone

Future Address

Address

Town State Zipcode

Daytime Phone Evening Phone

Marriage Preparation Selections

Please indicate your first and second choice, all offerings are for 2008–09.
Fees are listed below and include FOCCUS Online.
There is a $75.00 processing fee for all cancellations.

	• Two Day Preparation....................................................	$300.00
	• Four Evenings...............................................................	$300.00
	• Six Evenings...............................................................	$300.00
	• Two Day Interfaith........................................................	$300.00

Please make sure to provide your first and second choice.
You will be charged the cost of only one program selection.

Marriage Program Selection, Choice #1

Marriage Program Selection, Choice #2

FOCCUS facilitates couples communication and is a necessary component of marriage preparation. FOCCUS Online offers the benefit of completing your questionnaire at your convenience, at any time, from any computer.

IF you have ALREADY COMPLETED FOCCUS, check this box:

Click the Continue button to complete registration and payment.