Marriage Preparation Registration Form – The Northwest Catholic Counseling Center

Please choose one of following:

$225 - Couples Saturday Workshop
Class date:

$295 - Couples Counseling Sessions

$395 - Couples Counseling Sessions & Workshop
Class date:

If you have chosen Couples Counseling Sessions or Couples Counseling Sessions & Workshop, please select the days and times when you are both available:
Mon 9am-4pm5pm-7pm Tue 9am-4pm5pm-7pm Wed 9am-4pm5pm-7pm Thu 9am-4pm5pm-7pm Fri 9am-4pm Sat 9am-3pm

Bride Name

Bride Email

Bride Phone

Bride Address

Bride City

Bride State

Bride Zip code

Bride Birthdate

Bride First Marriage
YesNo

Bride Children
YesNo

Bride Ethnicity-Check all that apply
American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer

Wedding Date

(Optional but helpful):

Bride Religion

Parish

Groom Name

Groom Email

Groom Phone

Groom Address

Groom City

Groom State

Groom Zip code

Groom Birthdate

First Marriage
YesNo

Groom Children
YesNo

Groom Ethnicity-Check all that apply
American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer

Minister's Name

(Optional but helpful):

Groom Religion

Parish Address

After clicking on the send button you will be re-directed to the Marriage Preparation page. Please choose the appropriate Marriage Prep tab and make your payment. We will then be in contact with you.
Thank you!