Discover the Weekend @ utah-wwme.org

Weekend Application Form for Couples

If you are a member of the clergy, please click here for your application form.

Weekend Selections:

Preferred Names (for name tags) Husband's first name: Wife's first name: Last name: Wife's last name: (if different)

Contact Information Street address: Street address (cont.): City: State/Province: Postal code: (USA or Canada) Primary email: Alternate email: Primary phone: Alternate phone:

Faith Preferences: Husband's faith: Husband's parish/church: Wife's faith: Wife's parish/church:

Additional Information Wedding date: (MM/DD/YYYY) Previously Encountered: Referred By: Phone: How did you find us? (please check all that apply)
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Church bulletin
Encountered
Friends
Info night/Dinner
Mass Talks
Other
Priest/Pastor
Relative/Family
Website/Internet

Husband dietary requirements: Wife dietary requirements: Additional needs and/or requests: Hotel room preference: (All retreat centers are non-smoking)

Application Fee Payment: