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Marriage Preparation Registration Form

Date of Scheduled
Pre-Cana Session:
Your Name:
Email Address:
Groom:
Name:
(As you would like it to appear on certificate of completion)
Address:
City: State: Zip:
Occupation: Date of Birth
(mm/dd/yyyy):
Religion: Home Phone:
Parish: Work Phone:
Married Before?: No: Yes: Children?: No: Yes:
Bride:
Name:
(As you would like it to appear on certificate of completion)
Address:
City: State: Zip:
Occupation: Date of Birth
(mm/dd/yyyy):
Religion: Home Phone:
Parish: Work Phone:
Married Before?: No: Yes: Children?: No: Yes:
Address to use for future mailings? Groom: Bride:
Date of Wedding:
Parish:
Priest or Deacon:
Have you participated in the FOCCUS program?: No Yes:
Lunch Selections
Roast Beef Sandwich: Turkey Sandwich:
Ham & Cheese Sandwich: Tuna Sandwich:
Special Request:
Subject to availability
Please indicate selections for both of you.
Your registration must be received 2 weeks in advance of the scheduled session. Please mail a check in the amount of $60.00 USD made payable to St. Rita Marriage Preparation to
St. Rita Marriage Preparation
c/o Kwiatkowski
954 Copper Kettle Road
Webster, NY 14580-8939

You should recieve a confirmation that your registration has been accepted within 24 hours.
Your registration is not considered complete until your payment is received.
Lunch is included in the registration fee.
Questions can be sent to marriageprep@saintrita.org
Last Updated on 04/28/07 at 09:05:23 250