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Sign up now!

To get started toward your weekend, please provide us with your complete contact information by filling out the form below. If you are available on more than one weekend, please check multiple boxes. Space on the weekend is limited, and weekends fill up as much as a month ahead of time, so sign up early to be assured of your first choice.

To guarantee your space on the weekend, please fill out the Sign Up form below and mail a deposit check for $50, payable to Worldwide Marriage Encounter to:

Sarah and Jacob Flores
8141 Puritan Ave.
Downey, CA 90242-4311

His Name*:

Her Name*:

Your Wedding Date [mo/day/year]:

Your email*:

Daytime Phone [123-456-7890]:

Evening Phone* [123-456-7890]:

Street Address:

City/State/Zip:

His Faith:

Her Faith:

Parish/Church:

Which weekend would you like to attend?
 
 
 
 
 
 
Do you have any special needs or requirements?  
 
 
 
 

February 13-15, 2009
May 1-3, 2009
July 17-19, 2009
November 6-8, 2009
I would like more information

* = required field

 

“I rediscovered a passion and urgency to be with my wife that I hadn't felt since we were dating.”

-- Weekend participant