Marriage Preparation Online Registration

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number

Email Address

His Full Name*

Known As

His Date of Birth*

His Address, City Zip*

His Phone (Home)*

His Phone (Work)*

His Email*

His Denomination*

His Parish/Church, City*

His Special Needs

Her Full Name*

Know As

Her Date of Birth*

Her Address, City Zip*

Her Phone (Home)*

Her Phone (Work)*

Her Email*

Her Denomination*

Her Parish/Church, City*

Wedding Minister

Clergy Preparing you For Marriage

Church*

Cell Phone*

Food Restrictions if applicable

Date and Location (First Choice)

Date and Location for in person only (Second Choice)

(Second Choice Cannot be same as first choice)

Marriage Prep In Person

Price:

Credit Card*

Card Details

Cardholder Name

Diocese of Charlotte