Birmingham Catholic Engaged Encounter

Register for Catholic Engaged Encounter

Her Information
First Name : Last Name :
Nickname/Called (If None Leave Blank)
Address
Address
City : State/Province :
Zip/Postal Code  
Home Phone Work Phone
Birthdate
Religion

His Information
First Name Last Name :
Nickname/Called (If None Leave Blank)
Address
Address
City : State/Province :
Zip/Postal Code  
Home Phone Work Phone
Birthdate
Religion

Our Address After Wedding
Address
Address
City : State/Province :
Zip/Postal Code  
Home Phone

Couple and Wedding Information

How long have you been dating ? years months
How long have you been engaged ? years months
Wedding Date (If Known)
Clergy Overseeing Marriage Preparation
Clergy Name
Wedding Location
Parish City Parish State
Our Parish/Church After Wedding
Parish/Church Name
Parish City Parish State

Primary Contact
Email Address

Special Needs (Max 256 Characters)

Please list any special medical, dietary, or other conditions that we should be aware of during the weekend.