Online Witness to Love Retreat

|||

Facebook Instagram X (Twitter) YouTube

- Witness to Love Online Retreat Registration
  
  Marriage Preparation
  
  Please note that this retreat is only for those couples currently in marriage preparation with Witness to Love, meaning that you are an engaged couple meeting with a mentor couple every month or so.
  
  Upon registration and payment, a packet will be mailed to you containing information about how to access the online content as well as the reflection booklet used throughout the retreat.
  
  Be sure to complete payment in the form below this registration!
Online Retreat Registration

Witness to Love
- This form is not accepting responses at this time.
  
  Engaged Couple Information
  
  Groom First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Groom Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Bride First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Bride Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Engaged Couple Email REQUIRED Please fill out this field. Please enter an email address.
  
  Engaged Couple Wedding Date REQUIRED Please fill out this field. Please enter a date.
  
  Engaged Couple Parish, City REQUIRED Please fill out this field. Please enter valid data.
  
  Marriage Prep Coordinator Email (The person who coordinates Witness to Love at your parish) REQUIRED Please fill out this field. Please enter an email address.
  
  Bride OR Groom's Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Mentor Couple Information
  
  Husband's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Husband's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Wife's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Wife's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mentor Couple's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Make a Payment

Witness to Love Online Retreat
- Marriage Preparation Retreat Payment
  
  Payment amount:
  
  Witness to Love Retreat$30
  
  Amount:
  
  Designation
  
  Designation: other Designation:
  
  Leave a comment (optional):
  
  Billing Address
  
  Organization name:
  
  Name: Title: First name: Last name:
  
  Email:
  
  Phone:
  
  Country:
  
  Address:
  
  City:
  
  State & zip:
  State:
  Zip:
  
  City & county:
  City:
  County:
  
  Postcode:
  
  City:
  
  Province & postal:
  Province:
  Postal:
  
  Suburb:
  
  State & postcode:
  State:
  Postcode:
  
  Suburb:
  
  City & post code:
  City:
  Post code:
  
  Payment details
  
  Payment method:
  
  Credit card
  
  Direct Debit
  
  Bank name:
  
  Routing number:
  
  Account type:
  
  Account number:
  
  Account holder:
  
  Is the information you entered to set up the Direct Debit Instruction correct?
  
  Account holder:
  
  Sort Code:
  
  Account number:
  
  Amount to be debited:
  
  Collection frequency:
  
  Date of first gift:
  
  FormField
  
  This webpage is secured by reCAPTCHA. View the privacy policy for more information.
Contact

Marriage Preparation
- Tristan Borland
  
  Associate Director of Marriage and Family Ministry and Evangelization
  
  608-821-3026
  tristan.borlandmadisondiocese.org