Holy Matrimony Information Form

Date of Application(MM/DD/YYYY)

Date of Service

Location

Desired Time of Service

Date of Rehearsal (MM/DD/YYYY)

Time of Rehearsal

Number in Party

Officiant

—Please choose an option—The Rev. K. Paul St. GermainThe Rev. Christopher C. RichardsonOtherNo Preference

First Member of Couple's Full Name

Date of Birth (MM/DD/YYYY)

Address

Street Address

Address Line 2

City

State

Postal / Zip Code

Country

Religious Affiliation

Previous Marriages?

Check All That Apply

Yes

Baptized

No

Confirmed

Neither

Date of Final Divorce Decree (MM/DD/YYYY)

Phone Number

Email

Name of Father/Guardian

Name of Mother/Guardian

Second Member of Couple's Full Name

Date of Birth (MM/DD/YYYY)

Address

Street Address

Address Line 2

City

State

Postal / Zip Code

Country

Religious Affiliation

Previous Marriages?

Check All That Apply

Yes

Baptized

No

Confirmed

Neither

Date of Final Divorce Decree (MM/DD/YYYY)

Phone Number

Email

Name of Father/Guardian

Name of Mother/Guardian