Pre-Marital Workshop Registration Information A

Workshops are held on Saturdays only. The start time is 9 A.M. This will be
an all-day program.  Refreshments and break intervals are part of the
schedule.  

Please call the Umbrella Counseling office at: 972-466-3630 to discuss
workshop availability, dates, and cost.

Completion of the workshop includes a $60 voucher towards your state of
Texas marriage license.

Please fill out completely, and
mail the registration form below, along
with a
B/W copy of your driver’s license or state ID and
your money order
made out to:

              
Umbrella Counseling

Mail to:     Umbrella Counseling
                Attn:  Linda Pilone
                P.O. Box 3265
                Coppell, Texas75019


Once your registration form and payment has been received, you will be
contacted via e-mail confirming your workshop date.

Umbrella Counseling reserves the right to cancel a scheduled workshop.   
Couples will be given the option of a full refund or will be able to
re-schedule their workshop depending on availability.  Refunds could take
up to 2 weeks.  

There is a $15 cancellation fee if a couple does not cancel 48 hours prior
to the workshop.
Pre-Marital Workshop Registration Information B

Workshops are held on Saturdays only. The start time is 9 A.M. This will be a    
half-day program.  Refreshments and break intervals are part of the schedule.  

Please call the Umbrella Counseling office at: 972-466-3630 to discuss
workshop availability, dates, and cost.

Couples completing this half-day workshop will receive a marriage counseling
certificate.

Please fill out completely, and
mail the registration form below, along with a
B/W copy of your driver’s license or state ID and
your money order
made out to:

             
Umbrella Counseling

Mail to:     Umbrella Counseling
               Attn:  Linda Pilone
               P.O. Box 3265
               Coppell, Texas75019


Once your registration form and payment has been received, you will be
contacted via e-mail confirming your workshop date.

Umbrella Counseling reserves the right to cancel a scheduled workshop.   
Couples will be given the option of a full refund or will be able to
re-schedule their workshop depending on availability.  Refunds could take up
to 2 weeks.  

There is a $15 cancellation fee if a couple does not cancel 48 hours prior to
the workshop.
           Pre-Marital Workshop Registration A&B

                       Groom                                                      Bride    
                                             
Full Name:   _________________________     _________________________

Address   __________________________      __________________________

Phone Contact #   ___________________     ___________________________

E-mail   ____________________________   ___________________________

Wedding Date   _____________________   WorkshopDate________________

Workshop A -Full Day ___ Workshop B Half Day ___ Amount Enclosed $______

Umbrella Counseling reserves the right to cancel a scheduled workshop.   Couples will
be given the option of a full refund or will be able to re-schedule their workshop
depending on availability.  Refunds could take up to 2 weeks.  

There is a $15 cancellation fee if a couple does not cancel 48 hours prior to the
workshop.


I agree to the above terms and conditions for the Umbrella Counseling workshop.


 _______________________________     _____________________________
   Signature of Groom                    Date        Signature of Bride                    Date