Weekend Registration Form

Note: Weekends are typically held at area hotels in either Norwalk or El Segundo.

Weekend Application Form

Last Name (*)	Invalid Input
Husband's First Name (*)	Invalid Input
Wife's First Name (*)	Invalid Input
Wedding Date (mm/dd/yyyy) (*)	please enter in the format dd/mm/yy
Your e-mail address (*)	please provide a valid email address
Home Phone (###-###-####) (*)	Please input 10 digits for example: 555-555-5555
Alternate Phone	Please input 10 digits for example: 555-555-5555
Street Address (*)	Invalid Input
City (*)	Invalid Input
Zip Code (*)	Invalid Input
Husband's Faith (*)	Invalid Input
Wife's Faith (*)	Invalid Input
Parish/Church Attended	Invalid Input
Weekend Date Preferred (*)	♥ June 29-July 1, 2012 ♥ November 9-11, 2012 Unsure Invalid Input
Preferred Method of Contact (*)	Home phone Alternate Phone e-mail Any Invalid Input

	* Please note that thre is a $75 application fee. While the application fee is non-refundable, it is transferable to a different weekend date if you are unable to make the date you register for. You are not considered registered for the weekend until your registration fee is paid. You will receive an e-mail with the address to send payment to.