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Online Application Form for Couples

 If you are clergy, please register by clicking here.

  Bold fields are required.

Weekend Selection

Weekend Selection

Please make your Weekend choice by selecting one of the date and location combinations that are listed to the left. We have grouped the Weekend dates by each of the Dioceses we serve.

If a couple or priest invited you to the Weekend, please let us know the(ir) name and a contact phone number.

PLEASE NOTE: A date printed in blue indicates that the Weekend is currently full and we are offering waitlist only at this time. Couples do cancel and space usually becomes available. If you choose a waitlisted Weekend, you will be given the opportunity to attend on a first-come, first-served basis. Thank you for understanding.

Rockford/Madison/Milwaukee

Chicago-Gary

Joliet

Alternate Weekend Selection

Alternate Selection

Please make your Alternate Weekend choice by selecting one of the date and location combinations that are listed to the left. We have grouped the Weekend dates by each of the Dioceses we serve.

Rockford/Madison/Milwaukee

Chicago-Gary

Joliet

Personal Information

Personal Information

Please enter your personal contact information.

This information will NOT be shared and is used only if we have a need to contact you regarding the Weekend.

Please enter wife's last name if different from husband.

Formatting for your phone number and wedding date is automatic. You only need to type the numbers and the form fills in the rest.

If you are already Encountered, please check the appropriate box to let us know.

(if different from husband)
mm/dd/yyyy - formatting is automatic
Faith Preference

Faith Preference

Please enter your faith and the name of your parish or church.

This information will NOT be shared with anyone and is used solely for informational purposes only.

Please enter the preferences for both husband and wife, even if it's the same.

Additional Information

Additional Information

Please let us know how you heard of Worldwide Marriage Encounter.

Also let us know if you have any special needs or requirements during the weekend (i.e. food allergies, medical, etc.).



Advertisement - Printed
Advertising - Radio
Church bulletin
Friends
Info night/Dinner
Mass Talks
Other
Previously Encountered
Priest/Pastor
Relative/Family
Website/Internet
Smoking preference is for hotels only. All retreat centers are non-smoking.
If you have a discount code for the application fee, please enter it here.

There is a $50 application fee in order to hold your room. Please indicate how you would like to pay. Please note: You do NOT have to have a PayPal account in order to pay by credit card or electronic check.