Formulario de registro de preparación matrimonial – The Northwest Catholic Counseling Center

Please choose one of following:

$295 - Couples Counseling Sessions

$225 - Couples Workshop - May 7 & 8

$225 - Couples Workshop - Jun 18 & 19

$225 - Couples Workshop - Nov 12 & 13

$395 - Couples Counseling Sessions & Workshop - May 7 & 8

$395 - Couples Counseling Sessions & Workshop - Jun 18 & 19

$395 - Couples Counseling Sessions & Workshop - Nov 12 & 13

If you have chosen Couples Counseling Sessions or Couples Counseling Sessions & Workshop, please select the days and times when you are both available:
Mon 9am-4pm5pm-7pm Tue 9am-4pm5pm-7pm Wed 9am-4pm5pm-7pm Thu 9am-4pm5pm-7pm Fri 9am-4pm Sat 9am-3pm

Partner #1: Name

Partner #1: Gender & Pronouns

Partner #1: Email

Partner #1: Phone

Partner #1: Address

Partner #1: City

Partner #1: State

Partner #1: Zip code

Partner #1: Birthdate

Partner #1: First Marriage
YesNo

Partner #1: Children
YesNo

Partner #1: Ethnicity-Check all that apply
American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer

Wedding Date

(Optional but helpful):

Partner #1: Religion

Parish Name

Partner #2: Name

Partner #2: Gender & Pronouns

Partner #2: Email

Partner #2: Phone

Partner #2: Address

Partner #2: City

Partner #2: State

Partner #2: Zip code

Partner #2: Birthdate

Partner #2: First Marriage
YesNo

Partner #2: Children
YesNo

Partner #2: Ethnicity-Check all that apply
American Indian/Alaska NativeBlack/African AmericanHispanic/LatinxPacific IslanderWhitePrefer not to answer

Minister's Name

(Optional but helpful):

Partner #2: Religion

Parish Address

After clicking on the send button, please pre-pay for the workshop using the PayPal drop-down menu and pay button below. You may also pre-pay over the phone at 503-253-0964 or send payment to our office at 8383 NE Sandy Blvd, Suite 205 in Portland. After receiving your registration and payment, we will be in contact with you.
Thank you!