|Marriage Encounter of the Springfield Diocese in Illinois|
|On-Line Registration Form|
|First Names (His & Hers):|
|Last Name :|
|City / State / Zip:|
|Weekend Date Desired:|
|His Religious Affiliate (Church Name):|
|Her Religious Affiliate (Church Name):|
|How did you hear about Marriage Encounter?|
| Please allow next confirmation page to download completely before moving on.
Please note: If you do not receive verification of your registration within 72 hrs., please call our registation couple at our toll-free number, 1-888-889-9963. You will be contacted for the $50 Reservation Fee, which will confirm your spot on the weekend of your choice.