Diocese of Allentown: Marriage Preparation Registration Form

Marriage Prep Registration Form

For more information, please contact us at the following address:
Secretariat for Catholic Life & Evangelization
Office of Marriage and Family Life Formation
900 S. Woodward Street
Allentown PA 18103-4179
Email: MFLF@allentowndiocese.org
(610) 289-8900, ext. 221

If you wish to register for a marriage preparation course, please fill out the form below and click on the Submit button when you're finished. The information you send is not released outside the Diocese; please read our Privacy Policy before submitting the form.

Online Registration Date:

Registering for program in which county:

Program Location and Date:
Requested program dates must be confirmed by the Office of Marriage and Family Life Formation

Couple's Wedding Date:

Name of Person Completing Online Registration:

E-mail Address:

Daytime Phone Number: (format: xxx-xxx-xxxx)

Bride's First Name:

Bride's Middle Initial:

Bride's Last Name:

Bride's Address:

Bride's City:

Bride's Zip Code:

Bride's Age:

Bride's E-mail Address:

Bride's Home/Cell Phone Number: (format: xxx-xxx-xxxx)

Catholic?:
Yes No

If yes, Name of Parish:

City and State of Parish:

Groom's First Name:

Groom's Middle Initial:

Groom's Last Name:

Groom's Address:

Groom's City:

Groom's Zip Code:

Groom's Age:

Groom's E-mail Address:

Groom's Home/Cell Phone Number: (format: xxx-xxx-xxxx)

Catholic?:
Yes No

If yes, Name of Parish:

City and State of Parish:

Name of Priest preparing you for the Sacrament:

Name of Priest's Parish Residence:

Address:

City:

Zip:

Children:
Yes No

If yes, your children together or from another relationship:
Together From Another Relationship

Have you contacted and spoke to your priest yet?
Yes No

Questions? Comments?:

Post Office Box F • Allentown, PA • 18105-1538

Copyright 2003 The Catholic Diocese of Allentown
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