Welcome to our Online Application Form. Fill in all fields using your
Tab key to move from field to field. When you click submit we'll provide
you with a printable form and more information about the weekend.
Remember, this is a preliminary application. Your application will
be confirmed by U.S. Mail when we have received your application fee.
If you have questions feel free to call Dave and Jan Stockelman on our
Toll Free Number: 1-800-547-1251, Code 00. When you leave a message
we will do our best to get back to you promply.
*Last Name:
*Husband's first name
(for nametag):
*Wife's first name
(for nametag):
*Address:
*City:
*State:
*Zip:
*Phone:
*Wedding Date:
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*His Religious Affiliation:
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*Her Religious Affiliation:
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*Parish:
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*Which weekend are you
interested in? (Please click on the weekend dates)
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Any medical, physical, dietary restrictions or other information:
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E-Mail address:
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How did you find out about the Weekend?
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PRIVACY INFORMATION: Please be aware that your information
will be sent as an email to our aplications team. Do not include
any credit card numbers with your application.
APPLICATION INFORMATION: After pressing the submit key
you will be able to verify your information. At that time you can
print out your information to mail in a check or call our Application
Team with your Visa or Mastercard.
REMEMBER: You are not fully applied until we have received
your $50.00 Application Fee!
* = Required Entry |