CWME Registration Form

To sign up for a Marriage Encounter Weekend, print this form by clicking on the print icon on your browser tool bar.

Please mail registration form plus $35.00 non-refundable deposit to the Registration Couple.  Make check payable to: Central Wisconsin Marriage Encounter.

Name: ______________________________________

Address: ____________________________________
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Phone: (____) _____ - __________

E-Mail Address: ______________________________

Wedding Date: _______________________________

Religious Affiliation (hers) ______________________
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Religious Affiliation (his) _______________________
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Weekend Date Desired:     ____ April  21-23,  2006 St Anthony Retreat Center, Marathon
                                        ____ October 13-15 2006 Imago Dei (Village) Bible Camp
                                        ____ April 20-22, 2007 St. Anthony Retreat Center, Marathon

Special Accommodations Needed: _________________
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How did you hear about Marriage Encounter: _________
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