Worldwide Marriage Encounter - Section 12, State of Hawaii
Weekend Registration Form

* Required fields

* Husband's Name (First and Last):
* Wife's Name (First and Last):
* Address:
* City, State & Zip: ,
* Phone
  Alternate Phone
* Best time to contact you
* Your email address:
* Weekend Requested
* Wedding date
* Religious Affiliation: His
* Church:
* Religious Affiliation: Hers
* Church:
Any medical, physical, dietary restrictions or other information:
How did you find out about the weekend:

There is a $50 non-refundable Registration Fee.
Make Checks Payable to "Worldwide Marriage Encounter."
You will be contacted with an address to send the registration fee to and the registration couple will need to speak with you over the phone to gather more information to process your registration.
Your registration will not be fully processed until the registration fee is received and the phone call is completed.
Registration on weekend selected is subject to space availability once the registration and registration fee are received.

Press: when done, or if you want to blank the form and start over.