Bride's Information

Name


(first)	(last)

Street Address:

City, State,Zip

Age:

Home Phone:

() -

Work Phone:

() - Ext:

E-mail:

Religion:

Please Select a parish in LA County. If you are from Orange or San Diego County then select "Diocese of Orange" or "Diocese of San Diego". All others please choose "other unlisted location" at the bottom of the list.

Parish

Groom's Information

Name


(first)	(last)

Street Address:

City,State.Zip

Age:

Home Phone:

() -

Work Phone:

() - Ext:

E-mail:

Religion:

Parish:

Wedding Information

EE Weekend Choices

Wedding Date:
Parish/Church:
City/State:
Priest Officiating:

First Choice
Second Choice

Special Needs or Additional Information that You Feel may be Helpful:

Send all further correspondence to:

Send to Bride? YesNo

Mail Check or Money Order Important Reminder: Upon clicking submit, you will be given a choice to either pay now by credit card or to send in a check.
To send a check please note the following:
Your spot will not be held until your check or money order is received. Please include a copy of this page with your registration check. (Use your Print option in your browser now before hitting the submit button below).

After receipt of your check, you will then receive a confirmation of your registration as well as the date of your weekend. If you do not recieve this confirmation in 2 weeks please e-mail us at register@ceeofla.org

Please note: You will be placed on the 1st available weekend if the weekends you selected are full.

MAIL CHECK or MONEY ORDER in the AMOUNT OF $350 TO:
( Fee is non-refundable )
Catholic Engaged Encounter
Mike and Mary Lupe Ellis
6678 N. Berkeley Circle
Moorpark, CA 93021

REFUND POLICY
You must cancel your weekend at least 2 weeks prior to your weekend in order to receive a refund. This fee is non-refundable.

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