Atlanta Area E.M.E. Weekend Registration Form
Name (His):
(Hers):
Last:
Wedding Date:
Number of Children:
Address:

City:   State:  Zip: 
Home Phone:
Email (His):
(Hers):
Please Send More Information:
Who Told you about the Weekend?
Include any additional questions, comments, dietary requirements and/or concerns here:
Religious Affiliation (His):
Church (His)::
Religious Affiliation (Hers):
Church (Hers):
Weekend Desired:
Alternate Weekend:
I am mailing my $45 check to:
    Episcopal Marriage Encounter
    3350 Turtle Lake Club Dr.
    Marietta, GA  30067
    (770) 951-1411

When you click "Send", your information will be sent via e-mail to the Atlanta Area Registration Coordinators.
If you wish, print the completed form and send it along with your check.

Return to Atlanta EME Home Page