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Cana Again Registration Form

We treat your personal information as confidential, and will release it only as might be necessary to serve you, and only to duly recognized representatives of the Diocese of St. Augustine, the sponsor couple, or the priest(s) and parish(es) you designate below. 

Click here for more information on our Privacy Policy.

Bride's Information

Bride's First Name
Bride's Last Name
Age
Address
City, State, Zip
Home Phone
Work Phone
Bride's E-mail
Religion


Groom's Information
Groom's First Name
Grooms' Last Name
Age
Address
City, State, Zip
Home Phone
Work Phone
Groom's E-mail
Religion


Marriage Situation
Bride Groom

Current Marital Status:



Previous Marital Status:



Number of Children:  

Ages (separate by commas):



Custody?:  
Current Marital Status:



Previous Marital Status:



Number of Children:  

Ages (separate by commas):



Custody?:  


Wedding Information

Wedding date
Priest assisting
Church
Address
City, State, Zip
 

Select a Payment Method:

VISA   MasterCard   Check    Other

If paying by credit card, please complete requested information on the next page.

Comments:


If paying by credit card, confirmation will be sent by e-mail (if provided) or by mail.


If paying by check, confirmation will be sent by e-mail (if provided) or by mail ONLY when your check has been received.  Checks should be made out to Diocesan Center for Family Life.

Any questions, please contact (904) 308-7474



    

"So they are no longer two but
one flesh.
Therefore, what God has joined together, no
human being must separate."

Matthew 19:6

  
 2577 Park Street    
   Jacksonville, FL 32204    
   Phone (904) 308-7474    
Copyright © 2007 Diocesan Center for Family Life                                                                                             Fax (904) 308-4087    

                                            Diocese of St. Augustine