Marriage Pre-registration Form | Mother of God Parish

BASIC DATA

Groom Name

First Last

Bride Name

First Last

Date of Marriage

Time of Wedding

:

Place of Marriage

City, State

City State

Celebrant

Witness 1 Name

First Last

Witness 2 Name

First Last

Ecclesiastical records filed at. (Include City & State)

Groom Detailed Information

Groom Name

First Middle Last

Groom Address

Street Address Address Line 2 City State ZIP Code

Groom Cell Phone

Groom Email

Parish You Belong To (Groom)

Groom Date of Birth

Groom City/State/Country of Birth

City State / Province / Region Country

Groom's Father's Name

First Last

Groom's Father's Religion (Choose One)

If "Other", Please Specify

Groom's Mother's Name

First Last

Groom's Mother's Name

First Last

Groom's Mother's Religion (Choose One)

If "Other", Please Specify

Have you ever been baptized?

Yes

No

If yes, where were you baptized (please include city & state)

Date of Baptism

Have you ever been confirmed?

Yes

No

If yes, where were you confirmed (please include church, city & state)

Date of Chrismation

I swear and sign that I have answered all the above questions to the best of my knowledge:

Signature of Groom

First Last

Date of Signature (Groom)

Sacraments of Marriage

Pre-Registration

BASIC DATA

Groom Detailed Information

I swear and sign that I have answered all the above questions to the best of my knowledge:

Bride Detailed Information

I swear and sign that I have answered all the above questions to the best of my knowledge: