Our Lady of Fatima Retreat House

5353 East 56th Street

Indianapolis, IN 46226

(317) 545-7681

www.archindy.org/fatima

MARRIAGE PREPARATION PROGRAM INFORMATION SHEET

(All fields are mandatory to complete registration)

Primary Contact Information

First Name Click here to enter text.

Middle Name	Click here to enter text.

Last Name Click here to enter text.

Address	Click here to enter text.

City	Click here to enter text.

State	Click here to enter text.

Zip	Click here to enter text.

Telephone	Click here to enter text.

Email Address	Click here to enter text.

Wedding Information

Denomination

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Wedding Date

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Wedding Church

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His & Her Personal Information

Your Personal Information

First Name Click here to enter text.

Middle Name	Click here to enter text.

Last Name Click here to enter text.

Birthdate	Click here to enter text.

Gender	Click here to enter text.

Address	Click here to enter text.

City	Click here to enter text.

State	Click here to enter text.

Zip	Click here to enter text.

Fiancés Personal Information

First Name Click here to enter text.

Middle Name	Click here to enter text.

Last Name Click here to enter text.

Birthdate	Click here to enter text.

Gender	Click here to enter text.

Address	Click here to enter text.

City	Click here to enter text.

State	Click here to enter text.

Zip	Click here to enter text.

TOBIT Marriage Prep Weekend Selection

Please number your first choice with ‘1’ and your second choice with ‘2’:

2017	2018

____ Jun 23-25, 2017	____ Jan 5-7, 2018	____ Jul 27-29, 2018

____ Jul 21-23, 2017	____ Apr 13-15, 2018	____ Sep 21-23, 2018

____ Sep 15-17, 2017	____ May 18-20, 2018	____ Oct 19-21, 2018

____ Oct 20-22, 2017	____ Jun 22-24, 2018