Pre Cana - Panama City

His Name (first)*

His name (last)*

Her Name (first)*

Her Name (last)*

Nicknames for Him or Her (Optional):

Please select your choice of a date:*

What parish do you attend?*

Where are you planning to have your wedding?

What Priest or Deacon will witness your marriage?

Where is most of your marriage preparation taking place?

When is the wedding?*

Date

Who is the Priest or Deacon helping you prepare for marriage?

His Address:*

His City, State and ZIP*

His Daytime Phone:*

His E-mail*

His religion/denomination:*

His age:*

Her Address:*

Her City, State, ZIP:*

Her Daytime Phone:*

Her e-mail:*

Her religion/denomination:*

Her age:*

Does he have children?

YesNo

Does she have children?

YesNo

Have you taken either the FOCCUS, PREPARE/ ENRICH, or Fully Engaged Inventory?*

YesNo

Have you discussed your results with a priest, deacon, or facilitator couple at your parish?

YesNo

Is this his first marriage?*

YesNo

Is this her first marriage?*

YesNo

Due to one of you having been married previously, we ask that you please call 850-435-3553 to discuss possible alternatives to Pre Cana that will better suit you.

Are you co-habitating (living together)?*

YesNo

Are you civilly married?*

YesNo

For how long co-habitating (in months)?

For how long civilly married?

Where (city/state) will you reside after your marriage?*

If you have any dietary restrictions or other allergies of which we should be aware, please list them here:

The fee for this program is $140. Please select a payment method*

pay onlineI will mail a check

INSTRUCTIONS FOR MAILING A CHECK -

Please make check payable to: Diocese of Pensacola-Tallahassee

and mail to:

Diocese of Pensacola-Tallahassee

attn: Pre-Cana Registration

11 North B Street

Pensacola, FL 32502

You can pay online with a credit or debit card or use your checking or savings account on our secure web page through Vanco Payment Solutions. After clicking [Submit & Pay Now], you will be taken to our payment page. You may print this registration form for your records.