Christ the King Marriage Encounter

Registration Form

Deliver the $25 registration fee to the Church Office with check made payable to CTK.(Put Marriage Encounter on the “Memo” line)

Please text or email Tad and Annette Marvin with any questions: #501-681-9251 docmallard@hotmail.com

For Childcare, please contact Katherine Mentzer ( kmentzer@att.net )

His Name

First Name

Last Name

Her Name

First Name

Last Name

Her Email

His Phone

(###)

###

####

Will you be attending?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

His Email

Her Phone

(###)

###

####

Catholic

Both

Him only

Her only

Were you married by a priest according to the Catholic Rite?

Wedding Date

YYYY

Number of years Married

For Childcare, please contact Katherine Mentzer ( kmentzer@att.net ) for all arrangements. Request Day Care for our children (ages 6 months–11 years)

Please inform us of any food restrictions that either of you have

We have attended Marriage Encounter ( Church Name and City, State)