Marriage Preparation Registration
   PLEASE TYPE OR PRINT CLEARLY

Program Chosen (Code Number) _________________ on ______________________(Date)

     Second Choice (Code Number) _________________ on ______________________(Date)
If your choices are unavailable, you will be assigned to the first open program. Confirmation will be mailed within two weeks.
Bride:
Name ________________________________ Age: ______ 1st marriage? Yes>  No  Children? Yes  No 

Present Address: _______________________________

City ___________________________ State _______ Zip ________ Email: ________________

Home Phone ___________________ Day Phone _______________________

Religion __________________________ Parish ______________________________

City Where Parish Located ___________________________

Groom:
Name ________________________________ Age: ______ 1st marriage? Yes  No  Children? Yes  No 

Present Address: _______________________________

City ___________________________ State _______ Zip ________ Email: _______________

Home Phone ___________________ Day Phone _______________________

Religion __________________________ Parish ______________________________

City Where Parish Located ___________________________

Wedding Information: Priest Arranging Wedding ____________________________________________________

Date of Wedding _____________________   Church ____________________________

City Where Church Located ___________________________

Residence After Marriage _________________________

City ___________________________ State _______ Zip _________

Have you taken the "FOCCUS" Inventory? Yes  No 

Make check or money order payable to MARRIAGE PREPARATION PROGRAM
Fee enclosed $ _____________ PER COUPLE. (Please do not send cash.)
Mail to: Marriage Preparation,
Office of Family Ministry, 500 Slocum Road, North Dartmouth, MA 02747-2930