Registration consists of two parts, the couple information and the registration fee.  Your registration will not be complete until we receive your non-refundable couple registration fee of $50. This fee reserves your space on the weekend, and allows us to plan appropriately for food and accommodations for all couples attending the weekend.

There are several ways to register for a weekend:

  • To send both registration and fee by postal mail, print this page, fill it out and mail it to the address at the bottom of the page.
     
  • To register online but send the registration fee by postal mail, fill out and submit the form below.  Mail the registration fee to the address at the bottom of the page.
     
  • To register online and pay the registration fee using a credit card, click here.   Pay online   A small service charge will be applied.
Husband's Name (first & last):
Wife's Name (first & last):
E-Mail Address:
Address:
City:
State:
Zip Code:
Phone Number:
Wedding Date:
Husbands Religion:
Wifes Religion:
Church You Most Regularly Attend:
Weekend you'd like to attend:

Please list any medical,
physical, or dietary restrictions:
Who referred you:
 

Send your check or money order payable to "Worldwide Marriage Encounter" to:

Vic and Joan Penacho
1910 Glarner St
Hollister, CA  95023
(831) 638-9498

E-mail questions and comments