May 31, 2012 Marriage Preparation & FOCCUS Online Registration PLEASE NOTE:Registration is first-come, first-served. Due to course popularity and demand, dates cannot be placed on hold. To secure your selection, you must make payment at the time of your online registration. Two separate email addresses are required. Once you click on the "Submit" button below, you will be directed to our shopping cart. You must add item to cart and check out with Visa, MasterCard or Discover Card. At this time payment is due. You will NOT be considered registered until payment has been received. BrideName* First Last Address* Street Address City ZIP Code Phone (Day)* Phone (Eve) Email* Enter Email Confirm Email Age* Religion* GroomName* First Last Address* Street Address City ZIP Code Phone (Day)* Phone (Eve) Email* Enter Email Confirm Email Age* Religion* Marriage InformationMarriage Date* MM DD YYYY Name of Church*Please choose your Parish and TownAssumption of the Blessed Virgin Mary, CentereachBlessed Sacrament, Valley StreamChrist the King, CommackCorpus Christi, MineolaCure of Ars, MerrickGood Shepherd, HolbrookHoly Cross, NesconsetHoly Family, HicksvilleHoly Name of Jesus, WoodburyHoly Name of Mary, Valley StreamHoly Spirit, New Hyde ParkImmaculate Conception, Westhampton BeachInfant Jesus, Port JeffersonMaria Regina, SeafordMary Immaculate, BellportMost Holy Trinity, East HamptonNotre Dame, New Hyde ParkOur Holy Redeemer, FreeportOur Lady of Fatima, ManorhavenOur Lady of Good Counsel, InwoodOur Lady of Grace, West BabylonOur Lady of Hope, Carle PlaceOur Lady of Loretto, HempsteadOur Lady of Lourdes, MalverneOur Lady of Lourdes, Massapequa ParkOur Lady of Lourdes, West IslipOur Lady of Mercy, HicksvilleOur Lady of Mount Carmel , PatchogueOur Lady of Ostrabrama, CutchogueOur Lady of Peace, LynbrookOur Lady of Perpetual Help, LindenhurstOur Lady of Poland, SouthamptonOur Lady of the Assumption, CopiagueOur Lady of the Isle, Shelter Island HeightsOur Lady of the Miraculous Medal, Point LookoutOur Lady of the Miraculous Medal, WyandanchOur Lady of the Snow, Blue PointOur Lady of Victory, Floral ParkOur Lady Queen of Martyrs, CenterportQueen of the Most Holy Rosary, BridgehamptonQueen of the Most Holy Rosary, RooseveltResurrection, FarmingvilleSacred Heart, CutchogueSacred Heart, Island ParkSacred Heart, North MerrickSacred Hearts of Jesus and Mary, SouthamptonSS Philip and James, Saint JamesSs. Cyril and Methodius, Deer ParkSS. Peter and Paul, ManorvilleSt. Agnes Cathedral, Rockville CentreSt. Agnes, GreenportSt. Aidan, Williston ParkSt. Aloysius, Great NeckSt. Andrew, Sag HarborSt. Anne , Garden CitySt. Anne, BrentwoodSt. Anthony of Padua, East NortportSt. Anthony of Padua, Rocky PointSt. Anthony, OceansideSt. Barnabas the Apostle, BellmoreSt. Bernard, LevittownSt. Boniface Martyr, Sea CliffSt. Boniface, ElmontSt. Brigid, WestburySt. Catherine of Sienna, Franklin SquareSt. Christopher, BaldwinSt. Dominic, Oyster BaySt. Edward the Confessor, SyossetSt. Elizabeth Ann Seton, Lake RonkonkomaSt. Elizabeth of Hungary , MelvilleSt. Frances Cabrini, CoramSt. Frances de Chantal, WantaghSt. Frances de Sales, PatchogueSt. Francis of Assisi, GreenlawnSt. Gerard Majella, Port Jefferson StationSt. Gertrude, BayvilleSt. Hedwig, Floral ParkSt. Hugh of Lincoln, Huntington StationSt. Hyacinth, Glen HeadSt. Ignatius Loyola , HicksvilleSt. Ignatius Martyr, Long BeachSt. Isadore, RiverheadSt. James, SeafordSt. James, SetauketSt. Joachim, CedarhurstSt. John Nepomucene, BohemiaSt. John of God , Central IslipSt. John the Baptist, Wading RiverSt. John the Evangelist, Center MorichesSt. John the Evangelist, RiverheadSt. Joseph the Worker, East PatchogueSt. Joseph, BabylonSt. Joseph, Garden CitySt. Joseph, HewlettSt. Joseph, Kings ParkSt. Joseph, RonkonkomaSt. Jude, Mastic BeachSt. Kilian, FarmingdaleSt. Ladislaus, HempsteadSt. Lawrence the Martyr, SayvilleSt. Louis de Montfort, Sound BeachSt. Luke , BrentwoodSt. Margaret of Scotland, SeldenSt. Mark, ShorehamSt. Martha, UniondaleSt. Martin of Tours, AmityvilleSt. Martin of Tours, BethpageSt. Mary of the Isle, Long BeachSt. Mary, East IslipSt. Mary, ManhassetSt. Mary, RoslynSt. Matthew, Dix HillsSt. Patrick, Bay ShoreSt. Patrick, Glen CoveSt. Patrick, HuntingtonSt. Patrick, SmithtownSt. Patrick, SoutholdSt. Paul the Apostle, BrookvilleSt. Peter of Alcantara, Port WashingtonSt. Peter the Apostle, Islip TerraceSt. Philip Neri, NorthportSt. Pius X, PlainviewSt. Raphael, East MeadowSt. Raymond, East RockawaySt. Rocco, Glen CoveSt. Rosalie, Hampton BaysSt. Rose of Lima, MassapequaSt. Sylvester, MedfordSt. Therese of Lisieux, MontaukSt. Thomas More, HauppaugeSt. Thomas the Apostle, West HempsteadSt. Vincent de Paul, ElmontSt. William the Abbot, SeafordOutside of Diocese of Rockville CentreSpanish ApostolateName of Church if Outside the Diocese Marriage Preparation SelectionsPlease indicate your first and second choice. Fees listed below include FOCCUS Online. There is a $50.00 processing fee to reschedule a session once your registration has been processed. There is a $125.00 processing fee for all cancellations or to reschedule the week prior to your scheduled session. Sessions are limited and fill up quickly. "NO SHOWS" will NOT be refunded. Please make sure to provide your first and second choices. You will be charged the cost of only one program selection. You will receive a confirmation of your session within five business days. We will do our best to place you in your first selection choice.About FOCCUSFOCCUS facilitates couples communication and is a mandatory component of marriage preparation. FOCCUS Online offers the benefit of completing your questionnaire at your convenience, at any time, from any computer. You will be emailed a username and password to enter the FOCCUS Online website.ALREADY COMPLETED FOCCUS Check this box if you have ALREADY COMPLETED FOCCUS Marriage Program Selection, Choice 1*SELECT YOUR FIRST CHOICEJuly 8 & 9, from 9:00 a.m. to 4:00 p.m. at The Seminary of the Immaculate Conception, HuntingtonMarriage Program Selection, Choice 2*SELECT YOUR SECOND CHOICEJuly 8 & 9, from 9:00 a.m. to 4:00 p.m. at The Seminary of the Immaculate Conception, Huntington Marriage Preparation and FOCCUS Online Price: $325.00 (FOCCUS is included in this fee) ****BEFORE YOU SUBMIT FORM, PLEASE NOTE****Once you click on the "Submit" button below, you will be directed to our shopping cart. You must add item to cart and check out with Visa, MasterCard or Discover Card. At this time payment is due. You will NOT be considered registered until payment has been received.