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Northeast Nebraska Catholic Engaged Encounter
General Info
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Register For Your Weekend
DO NOT WRITE IN THIS BOX!
Select Your Weekend
Engaged Encounter Weekend
Choose a weekend…
7/15/2023 - 7/16/2023 (Norfolk, NE)
1/13/2024 - 1/14/2024 (Norfolk, NE)
4/6/2024 - 4/7/2024 (Norfolk, NE)
7/20/2024 - 7/21/2024 (Norfolk, NE)
9/14/2024 - 9/15/2024 (Norfolk, NE)
Couple Information
Groom
Bride
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Phone #
*
E-mail
*
Birthdate
*
/
/
/
/
Religion
*
Parish
*
Occupation
*
Parent's Address
*
Parent's City
*
Parent's State
*
Parent's Zip Code
*
Parent's Phone #
*
Additional Information
Wedding Date
*
/
/
Church Name
*
Priest Marrying You
*
Referred By
*
Special Needs
Diet
Handicap
Medical
Notes:
Please explain any special needs
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