ME Registration – Marriage Encounter

Mennonite & Brethren Marriage Encounter

There is a non-refundable fee of $100 due when you submit your application.
(Marriage Encounter is recommended for couples who have been married for at least two years)


Weekend Registration:
Husband’s First Name:		Wife’s First Name:
Last Name:
Street Address:
Address Line 2:
City:		Province or State:
Postal Code or Zip:		Telephone #:
E-Mail address:
Wedding Date:
Church and/or religious affiliation:
Dietary Restrictions:
Are you a credentialed pastor couple?		YesNo
We ask that you invite a couple to be your prayer partner during your weekend. Please provide that couples’ name and contact information.
Name:
Address:
Telephone #:		Email:
How did you hear about Marriage Encounter?
Please answer a simple Math Question:		10*2=