Online Registration

Weekend Dates  -- Pls select -- 23 - 25 Mar 2012 22 - 24 Jun 2012 28 - 30 Sep 2012

What is your current marital status ? * -- Pls select -- Married Separated Divorced

Wedding Date    

Husband's Particulars

Family Name*      

First Name*         

Preferred Name  

Email Address    

Contact No.*       

Address*            

Religion             

Name of Church

Are you seeing a counselor ? -- Pls select -- Yes No

Is this your first marriage ?    -- Pls select -- Yes No

Wife's Particulars

Family Name*      

First Name*         

Preferred Name  

Email Address     

Contact No.*       

Address             
(If different from above)

Religion             

Name of Church

Are you seeing a counselor ? -- Pls select -- Yes No

Is this your first marriage ?    -- Pls select -- Yes No

Acknowledgement

This registration is submitted by : -- Pls select -- Husband Wife

Is your spouse aware of this registration ? -- Pls select -- Yes No