Diocese of Madison
Facilitator Training
for God's Plan for a Joy-Filled Marriage
Online Registration

Each individual or couple should complete this form and then click the 'Submit' button at the bottom of the page.
Do not use the 'Enter' key.

If you have questions, please call 608-821-3175 or e-mail GBrockman@straphael.org.


Husband First Name:
Husband Last Name:
Wife First Name:
Wife Last Name:
Parish:
City where parish is located:
Your preferred mailing address:
     Street address:
     City:
     State:
     Zip:
Email Address 1:
Email Address 2:
Home phone:
Husband day phone:
Wife day phone:
I/we will stay overnight at the Bishop O'Connor Catholic Center (check as appropriate):      Friday:     Saturday:

Registrations include all materials and meals (Saturday lunch and dinner; Sunday lunch).